| NPI | 1063610087 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CRAIG HUEY President 918-743-1133 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation |
| Additional Taxonomies | 207Q00000X Family Medicine |
| Enumeration Date | 2007-07-11 |
| Last Update Date | 2007-07-11 |