| NPI | 1093293573 |
|---|---|
| Doing Business As | OWASSO PAIN MANAGEMENT |
| Entity Type | Organization |
| Authorized Contact | TRACY L STANDRIDGE Owner 918-272-7432 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine |
| Enumeration Date | 2018-08-06 |
| Last Update Date | 2018-08-06 |