NPI | 1437638228 |
---|---|
Entity Type | Organization |
Authorized Contact | JEFFREY HALFORD Physician / Owner 918-794-6008 |
Organization Subpart ? | No |
Primary Taxonomy | 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine (Licence: OK 3924) |
Additional Taxonomies | 208VP0014X Pain Medicine, Interventional Pain Medicine |
Enumeration Date | 2018-08-13 |
Last Update Date | 2018-08-13 |