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Organization

OKLAHOMA MEDICAL PAIN MANAGEMENT

Active
Organization subpart
No

Provider details

NPI number
Authorized official
SCOTT MAYER (CEO)
(720) 219-5856
Entity
Organization

Contact information

Practice address
1230 SW 89TH ST STE C, OKLAHOMA CITY, OK 73139-9106
(405) 703-8860
(405) 900-4985
Mailing address
107006 N 3600 RD, PADEN, OK 74860-7101
(405) 932-1234
(405) 932-1248

Taxonomy

Speciality
Code
Description
License number
State
208VP0000X
Pain Medicine Physician
Primary
4354
OK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200080670A
OK
Enumeration date
12/29/2011
Last updated
08/14/2023
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