| NPI | 1417981564 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN W NELSON President 405-702-8623 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0000X Pain Medicine, Pain Medicine |
| Additional Taxonomies | 207LP2900X Anesthesiology, Pain Medicine |
| 207Q00000X Family Medicine | |
| Enumeration Date | 2006-07-11 |
| Last Update Date | 2022-01-13 |