| NPI | 1235316829 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BETSY WEBB Office Manager 918-392-4547 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center Medical Specialty |
| Additional Taxonomies | 207XX0801X Orthopaedic Surgery Orthopaedic Trauma |
| Enumeration Date | 2008-01-25 |
| Last Update Date | 2018-09-12 |