| NPI | 1225448251 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VIRGINIA Y BUTHOD Business Manager 918-749-7177 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: OK 13727) |
| Enumeration Date | 2014-04-29 |
| Last Update Date | 2014-04-29 |