| NPI | 1215192265 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DERECK AARON PEERY President/Owner 580-223-7200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine (Licence: OK 4546) |
| Enumeration Date | 2008-07-18 |
| Last Update Date | 2010-11-10 |