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 |