| NPI | 1679567960 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CATHY ANN JOHNS Office Manager 405-749-7031 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: OK 13864) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: MO R4C36) |
| 207X00000X Orthopaedic Surgery (Licence: TX H1505) | |
| Enumeration Date | 2005-09-01 |
| Last Update Date | 2009-05-21 |