| NPI | 1255002853 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELEY J BOOTH Physician/Owner 405-451-3444 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine |
| Enumeration Date | 2021-09-23 |
| Last Update Date | 2021-09-23 |