| NPI | 1821231929 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIANNE GENENE TUPPER Practice Manager 405-757-8338 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: OK 17397) |
| Enumeration Date | 2009-04-20 |
| Last Update Date | 2023-06-08 |