NPI | 1134453202 |
---|---|
Entity Type | Organization |
Authorized Contact | GARLAND N. PORTERFIELD President 405-848-9700 |
Organization Subpart ? | No |
Primary Taxonomy | 208200000X Plastic Surgery (Licence: OK 10681) |
Enumeration Date | 2009-09-23 |
Last Update Date | 2009-09-23 |