| NPI | 1306854765 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EMILY WAINNER Credentialing 405-310-6881 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207XX0005X Orthopaedic Surgery, Sports Medicine |
| Additional Taxonomies | 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine |
| 207XS0106X Orthopaedic Surgery, Hand Surgery | |
| 207XX0004X Orthopaedic Surgery, Foot and Ankle Surgery | |
| Enumeration Date | 2006-08-03 |
| Last Update Date | 2023-04-11 |