| NPI | 1871729723 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBORAH NEAL Coordinator 405-947-5557 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: MO 2004009978) |
| Additional Taxonomies | 207LP2900X Anesthesiology, Pain Medicine (Licence: MO 2006018031) |
| Enumeration Date | 2009-06-05 |
| Last Update Date | 2009-06-30 |