NPI | 1548806938 |
---|---|
Entity Type | Organization |
Authorized Contact | JEFFREY RILEY MORRIS President 918-625-2312 |
Organization Subpart ? | No |
Primary Taxonomy | 207X00000X Orthopaedic Surgery |
Additional Taxonomies | 207R00000X Internal Medicine |
207V00000X Obstetrics & Gynecology | |
207XS0114X Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery | |
207XX0005X Orthopaedic Surgery, Sports Medicine | |
Enumeration Date | 2019-11-21 |
Last Update Date | 2021-10-26 |