NPI | 1073876280 |
---|---|
Doing Business As | BA MED SPA & WEIGHT LOSS CENTER |
Entity Type | Organization |
Authorized Contact | JAMES ROY CAMPBELL Medical Director/President 918-872-9999 |
Organization Subpart ? | No |
Primary Taxonomy | 208D00000X General Practice (Licence: OK 1880) |
Enumeration Date | 2012-06-21 |
Last Update Date | 2012-06-21 |