| NPI | 1891803680 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIM HACKNEY Billing Specialist 405-749-5025 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: OK 18175) |
| Enumeration Date | 2006-08-29 |
| Last Update Date | 2023-02-10 |