Oklahoma Spine Diagnostic and Pain Treatment Center PLLC
Oklahoma Spine Diagnostic and Pain Treatment Center PLLC provides Interventional Pain Medicine Physician services in Shawnee, Oklahoma. Licensed in Oklahoma. Registered with an NPI since 2007.
- Licensed in
- OK
- In the registry since
- 2007
What do these letters mean?
- PLLC — Professional limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
3200 Medical Park DrShawnee, OK 74804-5014 Not confirmed with CMS for 13 years — call before visiting
Phone: (405) 878-9490
Fax: (405) 878-9492
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Interventional Pain Medicine Physician (primary) | Taxonomy 208VP0014X · Licence 19113 (OK) |
|---|
Record details
| NPI number | 1841334166 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Melenie Nachimson — Credentialing Specialist · (405) 775-9350 |
| NPI enumerated | February 19, 2007 |
| Last updated in NPPES | December 19, 2012 |
| Mailing address | Po Box 14459, Oklahoma City, OK 73113-0459 |
Other providers in Shawnee
-
Gkw - Opm LLC
4409 N Kickapoo Ave, Shawnee, OK 74804-1206 · (405) 242-4100