| NPI | 1225847056 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRADLEY RUSSELL MONS Physician 918-863-6275 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207YX0905X Otolaryngology, Otolaryngology/Facial Plastic Surgery |
| Enumeration Date | 2025-01-06 |
| Last Update Date | 2025-02-07 |