| NPI | 1366194110 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES WARREN LINN Authorized Official 918-742-4005 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 225100000X Physical Therapist | |
| Enumeration Date | 2022-01-24 |
| Last Update Date | 2023-10-03 |