| NPI | 1083874754 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL SHAWN SMITH Md 405-605-8780 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: OK 18758) |
| Enumeration Date | 2008-06-16 |
| Last Update Date | 2013-07-22 |