| NPI | 1922330927 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHIRLEY J WELDEN President 918-744-5959 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: OK 15263) |
| Additional Taxonomies | 208VP0000X Pain Medicine, Pain Medicine (Licence: OK 15236) |
| Enumeration Date | 2010-02-02 |
| Last Update Date | 2010-02-16 |