| NPI | 1770787418 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRUCE A MACKEY President 405-285-7246 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0000X Pain Medicine, Pain Medicine (Licence: OK 16205) |
| Enumeration Date | 2007-06-14 |
| Last Update Date | 2013-09-19 |