| NPI | 1851922140 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN KRUEGER Physician 918-493-1441 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine |
| Enumeration Date | 2020-01-27 |
| Last Update Date | 2020-01-27 |