| NPI | 1780770651 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TOM WALLACE EWING President 405-447-4999 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: OK 2243) |
| Additional Taxonomies | 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine (Licence: OK 20902) |
| Enumeration Date | 2006-10-05 |
| Last Update Date | 2008-06-24 |