NPI | 1730428939 |
---|---|
Entity Type | Organization |
Authorized Contact | JARRETT GORDON GREGORY Owner 580-224-2669 |
Organization Subpart ? | No |
Primary Taxonomy | 208VP0000X Pain Medicine, Pain Medicine (Licence: OK 13611) |
Enumeration Date | 2013-02-07 |
Last Update Date | 2013-02-07 |