| NPI | 1215324553 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DWAYNE A SCHMIDT Member 405-823-3229 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: OK 14792) |
| Additional Taxonomies | 2086S0129X Surgery, Vascular Surgery (Licence: OK 3168) |
| Enumeration Date | 2015-04-24 |
| Last Update Date | 2016-06-23 |