Organization
OKLAHOMA PAIN CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PAUL D MAITINO D.O. (OWNER)
(405) 680-5633
Entity
Organization
Contact information
Practice address
3110 SW 89TH ST, SUITE 200D-1, OKLAHOMA CITY, OK 73159-7920
(405) 680-5633
(405) 735-6796
Mailing address
PO BOX 1996, OKLAHOMA CITY, OK 73101-1996
(405) 419-8444
(405) 419-7797
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
3588
OK
Other
Enumeration date
12/11/2015
Last updated
12/28/2015
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