| NPI | 1962234682 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOE STREICH CEO 405-619-4410 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery |
| Additional Taxonomies | 2086S0105X Surgery, Surgery of the Hand |
| 2086S0122X Surgery, Plastic and Reconstructive Surgery | |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| Enumeration Date | 2024-08-20 |
| Last Update Date | 2024-12-04 |