| NPI | 1174729834 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINDA J STEVENSON Billing Coordinator 405-682-4651 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: OK 1667) |
| Enumeration Date | 2007-06-21 |
| Last Update Date | 2020-08-22 |