| NPI | 1497827372 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEANNE ELIZABETH HEYSER EASTERLY Owner 918-749-4668 |
| Organization Subpart ? | No |
| Primary Taxonomy | 204D00000X Neuromusculoskeletal Medicine & OMM (Licence: OK 2417) |
| Enumeration Date | 2006-11-15 |
| Last Update Date | 2010-02-22 |