Whalio Doctors

NPI 1003875212

Larry D. McKenzie, DO

Practitioner Interventional Pain Medicine Physician Broken Arrow, OK

Practice location

Address
4716 W Urbana St STE 200, Broken Arrow, OK 74012-6162
Phone
(918) 710-4112
Fax
(918) 710-4118

Registered specialties (3)

Interventional Pain Medicine Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 208VP0014X Licence 3116 (OK)
Pain Medicine (Anesthesiology) Physician
Allopathic & Osteopathic Physicians Taxonomy 207LP2900X Licence 3116 (OK)
Family Medicine Physician
Allopathic & Osteopathic Physicians Taxonomy 207Q00000X Licence 3116 (OK)

Registry record

NPI
1003875212
Entity type
Individual
Sex (as registered)
Male
NPI issued
17 Mar 2006
Record last updated
6 Jul 2021

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.