| NPI | 1164651394 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT E MITCHELL President 918-504-0364 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0122X Surgery, Plastic and Reconstructive Surgery (Licence: OK 22998) |
| Enumeration Date | 2009-07-09 |
| Last Update Date | 2009-07-09 |