| NPI | 1548883887 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES JOSHUA NAYLOR Administrator 918-884-6171 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine |
| Additional Taxonomies | 207L00000X Anesthesiology |
| 207RA0401X Internal Medicine, Addiction Medicine | |
| 207X00000X Orthopaedic Surgery | |
| 2085R0204X Radiology, Vascular & Interventional Radiology | |
| 208VP0000X Pain Medicine, Pain Medicine | |
| 213ES0103X Podiatrist, Foot & Ankle Surgery | |
| Enumeration Date | 2020-05-21 |
| Last Update Date | 2020-05-21 |