| NPI | 1255941423 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LADD CLAYTON ATKINS Owner 918-298-8080 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine |
| Enumeration Date | 2020-08-03 |
| Last Update Date | 2020-08-03 |