| NPI | 1780109652 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY HALFORD Owner / Physician 918-794-6008 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 208VP0000X Pain Medicine, Pain Medicine |
| Additional Taxonomies | 207LP2900X Anesthesiology, Pain Medicine |
| 207RS0010X Internal Medicine, Sports Medicine | |
| Enumeration Date | 2017-08-11 |
| Last Update Date | 2017-08-11 |