NPI | 1093884769 |
---|---|
Entity Type | Organization |
Authorized Contact | MICHAEL J. MASSONI President 405-787-2677 |
Organization Subpart ? | No |
Primary Taxonomy | 246ZS0410X Specialist/Technologist, Other, Surgical Technologist (Licence: OK LP22) |
Enumeration Date | 2006-11-07 |
Last Update Date | 2020-08-22 |