| NPI | 1013071166 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRENT A. RUBIS Owner 918-254-6793 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0122X Surgery, Plastic and Reconstructive Surgery (Licence: OK 21510) |
| Additional Taxonomies | 2082S0105X Plastic Surgery, Surgery of the Hand (Licence: OK 21510) |
| Enumeration Date | 2006-12-21 |
| Last Update Date | 2013-06-18 |