| NPI | 1023240538 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIM D NELSON Practice Manager 405-703-4905 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine (Licence: OK 21476) |
| Enumeration Date | 2009-08-17 |
| Last Update Date | 2009-08-17 |