| NPI | 1073942975 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CATHEY R DUPLISSEY Credentialing COO Rdinator 918-488-6687 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: OK 22448) |
| Enumeration Date | 2013-11-01 |
| Last Update Date | 2018-12-13 |