| NPI | 1164619110 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CYNDI EAGLETON Office Manager 918-492-4122 |
| Organization Subpart ? | No |
| Primary Taxonomy | 246ZS0410X Specialist/Technologist, Other, Surgical Technologist (Licence: OK 13121) |
| Enumeration Date | 2007-10-03 |
| Last Update Date | 2024-09-10 |