| NPI | 1265926539 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMY ELIZABETH HEFLEY Owner 918-810-2234 |
| Organization Subpart ? | No |
| Primary Taxonomy | 246ZC0007X Specialist/Technologist, Other, Surgical Assistant (Licence: OK 89577) |
| Enumeration Date | 2018-06-19 |
| Last Update Date | 2018-06-19 |