| NPI | 1538562301 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAMELA LEE WILSON Physician 405-517-1704 |
| Organization Subpart ? | No |
| Primary Taxonomy | 204D00000X Neuromusculoskeletal Medicine & OMM (Licence: OK 3300) |
| Enumeration Date | 2014-10-07 |
| Last Update Date | 2014-10-07 |