| NPI | 1780816298 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIANN PHILLIPS Business Office Generalist 405-703-4950 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0000X Pain Medicine, Pain Medicine (Licence: OK 22361) |
| Enumeration Date | 2009-08-17 |
| Last Update Date | 2017-08-10 |