NPI 1427279561

Oklahoma Physical Medicine and Rehabilitation, PC

Organisation Pain Medicine (Physical Medicine & Rehabilitation) Physician Broken Arrow, OK

Practice location

Address: 1621 S Eucalyptus Ave Suite 204, Broken Arrow, OK 74012-5940
Phone: (918) 252-7952
Mailing address: 10026 S Mingo Rd STE a Pmb 234, Tulsa, OK 74133-5717

Authorised official

Name: Timothy G Pettingell
Title: Physician
Phone: (918) 252-7952

Registered specialties

Pain Medicine (Physical Medicine & Rehabilitation) Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 2081P2900X

Other Physical Medicine & Rehabilitation providers in Oklahoma →

Registry record

NPI: 1427279561
Entity type: Organization
NPI issued: 2 May 2007
Record last updated: 22 Aug 2020

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.