NPI | 1104219385 |
---|---|
Doing Business As | RANDALL PAIN MANAGMENT |
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 |