| NPI | 1780906594 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID P ELLIS Owner 405-722-5500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0000X Pain Medicine, Pain Medicine (Licence: OK 15874) |
| Enumeration Date | 2010-02-20 |
| Last Update Date | 2010-02-20 |