| NPI | 1164941324 |
|---|---|
| Doing Business As | FOMG PAIN MANAGEMENT |
| Entity Type | Organization |
| Authorized Contact | WARREN SPELLMAN CEO 405-779-2150 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0000X Pain Medicine, Pain Medicine (Licence: OK 5121) |
| Additional Taxonomies | 261Q00000X |
| Enumeration Date | 2017-09-19 |
| Last Update Date | 2017-09-19 |