| NPI | 1417373366 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEN LACEFIELD COO 405-570-2382 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2081P2900X Physical Medicine & Rehabilitation Pain Medicine (Licence: OK 27605) |
| Enumeration Date | 2014-03-14 |
| Last Update Date | 2014-03-14 |