NPI | 1699383919 |
---|---|
Entity Type | Organization |
Authorized Contact | BLAKE DALBERT CHRISTENSEN Physician / Owner 405-751-0011 |
Organization Subpart ? | Yes |
Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine |
Enumeration Date | 2020-07-22 |
Last Update Date | 2020-07-22 |