| NPI | 1194138412 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | COLLEEN J PAYNE Director 918-744-1001 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: OK 14910) |
| Enumeration Date | 2014-06-04 |
| Last Update Date | 2014-06-04 |