| NPI | 1679899363 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES CLARK MAYOZA President/Owner 918-492-3133 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine (Licence: OK 8387) |
| Enumeration Date | 2010-04-20 |
| Last Update Date | 2010-04-20 |