| NPI | 1235676453 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHNATHON JAMES OZTURK CFO 918-927-3214 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery |
| Additional Taxonomies | 207QS0010X Family Medicine Sports Medicine |
| 207XX0005X Orthopaedic Surgery Sports Medicine | |
| 208100000X Physical Medicine & Rehabilitation | |
| 2081P2900X Physical Medicine & Rehabilitation Pain Medicine | |
| 225100000X Physical Therapist | |
| 225X00000X Occupational Therapist | |
| 363AS0400X Physician Assistant Surgical | |
| 363LF0000X Nurse Practitioner Family | |
| Enumeration Date | 2017-01-25 |
| Last Update Date | 2024-03-06 |