| NPI | 1962011999 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRENT C NOSSAMAN Owner 918-633-9439 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207XS0106X Orthopaedic Surgery, Hand Surgery |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery |
| Enumeration Date | 2020-07-27 |
| Last Update Date | 2020-12-08 |