| NPI | 1083653919 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENT HARRIS WEBB Owner President 405-632-4616 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208600000X Surgery |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical |
| Enumeration Date | 2006-06-06 |
| Last Update Date | 2012-09-28 |