| NPI | 1548633779 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN W NELSON President 405-702-8623 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0000X (Licence: OK 24875) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: OK 24875) |
| Enumeration Date | 2015-11-10 |
| Last Update Date | 2015-11-10 |