| NPI | 1417091273 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WAYNE ANTHONY JOHNSON President 580-353-8600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: OK 19138) |
| Enumeration Date | 2007-02-16 |
| Last Update Date | 2008-09-26 |