NPI 1164893228

Sooner Pain Clinic, LLC

Organisation Interventional Pain Medicine Physician Del City, OK

Practice location

Address: 5509 Main St Suite 100, Del City, OK 73115-5510
Phone: (405) 604-0901
Fax: (405) 604-0902
Mailing address: PO Box 270663, Oklahoma City, OK 73137-0663

Authorised official

Name: George B Dawson
Title: Owner
Phone: (405) 604-0901

Registered specialties

Interventional Pain Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208VP0014X Licence 18162 (OK)

Other Pain Medicine providers in Oklahoma →

Registry record

NPI: 1164893228
Entity type: Organization
NPI issued: 15 Oct 2015
Record last updated: 9 Dec 2015

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.