Elite Pain & Health Pc | |
13100 N Western Ave Ste 200, Oklahoma City, OK 73114-1431 | |
(800) 781-1220 | |
(888) 678-8616 |
Full Name | Elite Pain & Health Pc |
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Type | Facility |
Speciality | Pain Medicine - Interventional Pain Medicine |
Location | 13100 N Western Ave Ste 200, Oklahoma City, Oklahoma |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1700235645 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | (* (Not Available)) | Secondary |
208VP0014X | Pain Medicine - Interventional Pain Medicine | (* (Not Available)) | Primary |
Provider Name | Kendall J Little |
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Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1891772307 PECOS PAC ID: 5294778452 Enrollment ID: I20050722000892 |
Provider Name | Keley J Booth |
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Provider Type | Practitioner - Interventional Pain Management |
Provider Identifiers | NPI Number: 1558387696 PECOS PAC ID: 7214930064 Enrollment ID: I20060916000004 |
Provider Name | Jeffrey Courcier |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1205935251 PECOS PAC ID: 7012062102 Enrollment ID: I20090825000483 |
Provider Name | Misti Moon Harris |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1487157772 PECOS PAC ID: 0143576348 Enrollment ID: I20180702000126 |
Mailing Address | Practice Location Address |
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Elite Pain & Health Pc 13100 N Western Ave Ste 200, Oklahoma City, OK 73114-1431 Ph: (800) 781-1220 | Elite Pain & Health Pc 13100 N Western Ave Ste 200, Oklahoma City, OK 73114-1431 Ph: (800) 781-1220 |