| NPI | 1427192582 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BEVERLY WRIGHT Business Office Manager 918-502-4210 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: OK 11726) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: OK 11845) |
| Enumeration Date | 2007-02-20 |
| Last Update Date | 2020-08-22 |