NPI | 1659413649 |
---|---|
Entity Type | Organization |
Authorized Contact | MARK GALLIART CEO 405-486-2100 |
Organization Subpart ? | No |
Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: OK 2369) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: OK 2369) |
207QS0010X Family Medicine, Sports Medicine (Licence: OK 2369) | |
207RR0500X Internal Medicine, Rheumatology (Licence: OK 2369) | |
207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: OK 2369) | |
207XS0114X Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery (Licence: OK 2369) | |
207XX0004X Orthopaedic Surgery, Foot and Ankle Surgery (Licence: OK 2369) | |
208100000X Physical Medicine & Rehabilitation (Licence: OK 2369) | |
213E00000X Podiatrist (Licence: OK 2369) | |
363A00000X Physician Assistant (Licence: OK 2369) | |
Enumeration Date | 2007-02-13 |
Last Update Date | 2024-04-12 |