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Organization

ELITE PAIN SOLUTIONS LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MISS DIANN PHILLIPS (BUSINESS OFFICE GENERALIST)
(405) 703-4950
Entity
Organization

Contact information

Practice address
3110 SW 89TH ST, 102, OKLAHOMA CITY, OK 73159-7920
(405) 703-4905
(405) 703-4980
Mailing address
3110 SW 89TH ST, 102, OKLAHOMA CITY, OK 73159-7920
(405) 703-4905
(405) 703-4980

Taxonomy

Speciality
Code
Description
License number
State
208VP0000X
Pain Medicine Physician
Primary
22361
OK

Other

Enumeration date
08/17/2009
Last updated
08/10/2017
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