| NPI | 1326148123 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY S HALSELL Do 918-728-8020 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine (Licence: OK 3729) |
| Enumeration Date | 2006-09-22 |
| Last Update Date | 2021-12-10 |