Provider Demographics
NPI:1235148883
Name:PAGEL, WARREN WILLIAM (MD)
Entity Type:Individual
Prefix:DR
First Name:WARREN
Middle Name:WILLIAM
Last Name:PAGEL
Suffix:
Gender:M
Credentials:MD
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Other - First Name:
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Mailing Address - Street 1:4500 S GARNETT RD
Mailing Address - Street 2:SUITE 919
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74146-5229
Mailing Address - Country:US
Mailing Address - Phone:918-728-6194
Mailing Address - Fax:918-664-2521
Practice Address - Street 1:4500 S GARNETT RD
Practice Address - Street 2:SUITE 919
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74146-5229
Practice Address - Country:US
Practice Address - Phone:918-728-6194
Practice Address - Fax:918-664-2521
Is Sole Proprietor?:No
Enumeration Date:2006-08-05
Last Update Date:2007-12-04
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
OK11733207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
OKP00298601Medicare PIN
OKC95330Medicare UPIN