NPI 1093293573

Owasso Pain Management

Organisation Interventional Pain Medicine Physician Owasso, OK

Practice location

Address: 12707 E 86th St N, Owasso, OK 74055-2506
Phone: (918) 272-7432
Fax: (918) 272-7448

Authorised official

Name: Tracy L Standridge
Title: Owner
Phone: (918) 272-7432

Registered specialties

Interventional Pain Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208VP0014X

Other Pain Medicine providers in Oklahoma →

Registry record

NPI: 1093293573
Entity type: Organization
NPI issued: 6 Aug 2018
Record last updated: 6 Aug 2018

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.