| NPI | 1073600714 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHEN T LESTER Owner 918-502-7246 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: OK 16519) |
| Additional Taxonomies | 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: OK 538) |
| 174400000X Specialist (Licence: OK 4609) | |
| 174400000X Specialist (Licence: OK 25659) | |
| Enumeration Date | 2006-10-06 |
| Last Update Date | 2009-08-27 |