| NPI | 1013353440 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHERI MOORE Credentialing COO Rdinator 405-775-9350 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: OK 29617) |
| Enumeration Date | 2013-05-13 |
| Last Update Date | 2016-12-16 |