| NPI | 1063045516 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOEL MARK DAVIS Md, Owner 405-768-1600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207XX0004X Orthopaedic Surgery, Foot and Ankle Surgery |
| Enumeration Date | 2020-02-12 |
| Last Update Date | 2021-08-04 |