| Oklahoma Pain & Rehab Llc | |
|
2149 Sw 59th St Suite 201 Oklahoma City OK 73119-7033 | |
| (405) 681-5800 | |
| Not Available |
| Full Name | Oklahoma Pain & Rehab Llc |
|---|---|
| Speciality | Internal Medicine - Sports Medicine |
| Location | 2149 Sw 59th St, Oklahoma City, Oklahoma |
| Authorized Official Name and Position | Kim Ryan (OWNER) |
| Authorized Official Contact | 4059267926 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Oklahoma Pain & Rehab Llc 2149 Sw 59th St Suite 201 Oklahoma City OK 73119-7033 Ph: () - | Oklahoma Pain & Rehab Llc 2149 Sw 59th St Suite 201 Oklahoma City OK 73119-7033 Ph: (405) 681-5800 |
| NPI Number | 1013207505 |
|---|---|
| Provider Enumeration Date | 04/18/2011 |
| Last Update Date | 05/21/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013207505 | NPI | - | NPPES |
| 200388340A | Medicaid | OK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RS0010X | Internal Medicine - Sports Medicine | (* (Not Available)) | Primary |
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