NPI 1154965044

Community Wellness Clinic, LLC

Organisation Pain Medicine Physician Roland, OK

Practice location

Address: 707 S Roland Rd STE 6, Roland, OK 74954-5337
Phone: (479) 221-7119
Mailing address: PO Box 937, Roland, OK 74954-0937

Authorised official

Name: Noel Sanger
Title: Partner
Phone: (816) 769-1680

Registered specialties

Pain Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208VP0000X

Other Pain Medicine providers in Oklahoma →

Registry record

NPI: 1154965044
Entity type: Organization
NPI issued: 4 Nov 2019
Record last updated: 4 Nov 2019

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.