| NPI | 1093873168 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CYNTHIA DENISE ANDERSON Billing Rep 918-388-9749 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: OK 19093) |
| Enumeration Date | 2006-12-04 |
| Last Update Date | 2018-10-10 |