NPI | 1104673953 |
---|---|
Entity Type | Organization |
Authorized Contact | GARY DRIVER Doctor/Owner 405-830-4154 |
Organization Subpart ? | No |
Primary Taxonomy | 207XX0004X Orthopaedic Surgery, Foot and Ankle Surgery |
Enumeration Date | 2024-04-30 |
Last Update Date | 2024-04-30 |