NPI | 1629614011 |
---|---|
Entity Type | Organization |
Authorized Contact | JEFFREY RILEY MORRIS President 918-625-2312 |
Organization Subpart ? | No |
Primary Taxonomy | 207X00000X Orthopaedic Surgery |
Additional Taxonomies | 207XS0114X Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery |
Enumeration Date | 2019-11-21 |
Last Update Date | 2019-11-21 |