Pain Institute Of Tulsa, Inc
Specialist in Tulsa, OK(View on Map)
Legal Business Name
Pain Institute Of Tulsa, Inc
NPI Number
1124139126
NPI Type
Organization
Enumeration Date
08/31/2006
Specialties
(Taxonomies)Licenses
State
Oklahoma
Oklahoma
License Number
1732
1434
Contact
Information
Purpose
Mailing
Location
Address
1145 S UTICA AVE
1145 S UTICA AVE
City
Tulsa
Tulsa
State
OK
OK
Postal Code
74104-4004
74104-4004
Country
US
US
Telephone Number
(918) 496-5195
(918) 496-5195
Authorized Official
Name
Raymond Sorensen
Title or Position
OWNER
Telephone Number
(918) 496-5195
Identifiers
Identifier
200088040A
Identifier State
OK
Identifier Issuer
Unknown
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 06/25/2009
Provider Address
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