| NPI | 1134241797 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEVEN PARTIN Owner 918-695-0167 |
| Organization Subpart ? | No |
| Primary Taxonomy | 246ZC0007X Specialist/Technologist, Other, Surgical Assistant |
| Enumeration Date | 2007-04-04 |
| Last Update Date | 2010-07-22 |