Community Wellness Clinic, LLC
Organization Active NPI Pain Medicine Physician · Roland, OK
NPI 1154965044 · NPPES record last updated Nov 4, 2019
Key facts
- NPI
- 1154965044
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Pain Medicine Physician 208VP0000X
- Legal business name
- COMMUNITY WELLNESS CLINIC, LLC
- Practice address
- 707 S Roland Rd Ste 6
Roland, OK 74954-5337 - Phone
- (479) 221-7119
- NPI assigned
- Nov 4, 2019
- Organization subpart
- No
Authorized official
- Name
- Noel Sanger
- Title
- Partner
- Phone
- (816) 769-1680
National Provider Directory
Locations
707 S Roland Rd
Ste 6
Roland, OK 74954
Phone (479) 221-7119
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pain Medicine Physician |
208VP0000X | Yes |
Addresses
Primary practice location
707 S Roland Rd Ste 6
Roland, OK 74954-5337
Mailing address
PO Box 937
Roland, OK 74954-0937
Other providers in Roland, OK
- Katherine Nicole Chandler
- Destiney Jade Cherry
- Chris Isbell Pharmacy LLC
- Bayleigh Click
- Melissa Cole
- Jacey Conner
- Covenant Home Health, LLC
- Howard Paul Cross Jr.
- David W Furr LLC
- Tiffany Davis
All providers in Roland, OK · Pain Medicine Physician in Oklahoma
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 4, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.