| NPI | 1386630556 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CATHY PRICE Billing Manager 405-775-9350 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: OK 18162) |
| Additional Taxonomies | 207LP2900X Anesthesiology, Pain Medicine |
| Enumeration Date | 2005-09-23 |
| Last Update Date | 2009-10-16 |