NPI | 1649290644 |
---|---|
Doing Business As | MEMORIAL MEDICAL GROUP PHYSICAL MEDICINE & REHABILITATION |
Entity Type | Organization |
Authorized Contact | BRENT SMITH CFO 580-355-8620 |
Organization Subpart ? | No |
Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: OK 4083) |
Enumeration Date | 2006-07-20 |
Last Update Date | 2015-05-08 |