| NPI | 1568985182 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREA FRALEY Physician Owner 405-471-5460 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine |
| Additional Taxonomies | 208VP0014X Pain Medicine, Interventional Pain Medicine |
| Enumeration Date | 2017-07-25 |
| Last Update Date | 2018-01-11 |