| NPI | 1558716480 |
|---|---|
| Doing Business As | CENTRAL STATES ORTHOPEDIC SPECIAL |
| Entity Type | Organization |
| Authorized Contact | DAVID R LONG CEO 918-481-7644 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RR0500X Internal Medicine Rheumatology |
| Enumeration Date | 2016-04-28 |
| Last Update Date | 2016-06-15 |