| NPI | 1184335945 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSHUA FORREST Managing Partner 918-805-4885 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center Medical Specialty |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 207X00000X Orthopaedic Surgery | |
| 207XX0004X Orthopaedic Surgery Foot and Ankle Surgery | |
| Enumeration Date | 2022-12-12 |
| Last Update Date | 2025-05-20 |