| NPI | 1104835651 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAYO DEAN GILSON President 405-463-0411 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: OK 8854) |
| Enumeration Date | 2006-08-05 |
| Last Update Date | 2020-08-22 |