Organization
PAIN MANAGEMENT OF TULSA P C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. C SCOTT ANTHONY DO (OWNER)
(918) 447-9300
Entity
Organization
Contact information
Practice address
6802 S OLYMPIA AVE, SUITE 100, TULSA, OK 74132-1823
(918) 447-9300
(918) 447-9308
Mailing address
6802 S OLYMPIA AVE, SUITE 100, TULSA, OK 74132-1823
(918) 447-9300
(918) 447-9308
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
2940
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200107040A
—
OK
01
—
DF6291
RAILROAD MEDICARE
OK
Enumeration date
02/09/2007
Last updated
09/27/2013
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