| NPI | 1114236759 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BARRY STEPHEN RODGERS Owner 405-682-4651 |
| Organization Subpart ? | No |
| Primary Taxonomy | 204D00000X Neuromusculoskeletal Medicine & OMM (Licence: OK 1648) |
| Enumeration Date | 2010-09-30 |
| Last Update Date | 2010-11-05 |