| NPI | 1750104337 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY MOORE Owner 405-645-5475 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine |
| Enumeration Date | 2024-11-04 |
| Last Update Date | 2024-11-04 |