NPI | 1801003298 |
---|---|
Entity Type | Organization |
Authorized Contact | LANCE ELLIOTT ROSSON President 405-236-1900 |
Organization Subpart ? | No |
Primary Taxonomy | 111N00000X Chiropractor |
Additional Taxonomies | 207Q00000X Family Medicine |
2083X0100X Preventive Medicine, Occupational Medicine | |
Enumeration Date | 2007-05-17 |
Last Update Date | 2020-08-22 |