| NPI | 1275960866 |
|---|---|
| Former Legal Business Name | NORTHEASTERN OKLAHOMA PHYSICIANS GROUP |
| Entity Type | Organization |
| Authorized Contact | COLLEEN PAYNE COO 469-592-8366 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 207RI0001X Internal Medicine, Clinical & Laboratory Immunology | |
| 208VP0000X Pain Medicine, Pain Medicine | |
| 208VP0014X Pain Medicine, Interventional Pain Medicine | |
| Enumeration Date | 2013-09-27 |
| Last Update Date | 2022-03-23 |