| NPI | 1629457387 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUSTIN BOMAN Manager 405-622-3827 |
| Organization Subpart ? | No |
| Primary Taxonomy | 246ZE0600X Specialist/Technologist, Other, Electroneurodiagnostic |
| Enumeration Date | 2015-05-27 |
| Last Update Date | 2015-05-27 |