| NPI | 1245097948 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARLOS GOMEZ-MEADE DO Authorized Official 918-884-6623 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207ND0101X Dermatology MOHS-Micrographic Surgery |
| Enumeration Date | 2024-02-29 |
| Last Update Date | 2024-07-31 |