| NPI | 1053500967 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBBY ROBERTSON Office Administrator 918-745-9052 |
| Organization Subpart ? | No |
| Primary Taxonomy | 231H00000X Audiologist (Licence: OK 079) |
| Additional Taxonomies | 231H00000X Audiologist (Licence: OK 344) |
| 231H00000X Audiologist (Licence: OK 304) | |
| Enumeration Date | 2007-10-16 |
| Last Update Date | 2008-02-21 |