| NPI | 1275019101 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BARRETT NEWTON Owner 918-851-1818 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine |
| Enumeration Date | 2018-07-13 |
| Last Update Date | 2018-07-13 |