| NPI | 1972899144 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DENNIS PALMER RIVERO Owner 918-682-7717 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: OK 25366) |
| Additional Taxonomies | 207XS0114X Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery (Licence: OK 25366) |
| Enumeration Date | 2011-06-25 |
| Last Update Date | 2011-06-25 |