NPI | 1073992889 |
---|---|
Entity Type | Organization |
Authorized Contact | DEBORAH NILSON Owner 405-568-2593 |
Organization Subpart ? | No |
Primary Taxonomy | 208VP0000X Pain Medicine, Pain Medicine (Licence: OK 4373) |
Enumeration Date | 2015-05-26 |
Last Update Date | 2024-05-10 |