| 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 |