| NPI | 1619318102 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUSTIN TURNER VP 405-470-3223 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0000X Pain Medicine, Pain Medicine |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2013-07-11 |
| Last Update Date | 2016-08-22 |