| NPI | 1104219385 |
|---|---|
| Doing Business As | RANDALL PAIN MANAGMENT |
| Doing Business As | AVENSTAR PAIN SPECIALISTS |
| Entity Type | Organization |
| Authorized Contact | STEVE ERIC RANDALL Owner 405-438-0913 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: OK 2493) |
| Additional Taxonomies | 207QS0010X Family Medicine, Sports Medicine (Licence: TX N4691) |
| Enumeration Date | 2015-03-11 |
| Last Update Date | 2023-02-01 |