| NPI | 1295766202 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GARYL G GEIST Manager 405-271-5214 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Additional Taxonomies | 261QS0132X Clinic/Center, Ophthalmologic Surgery (Licence: OK 0048) |
| Enumeration Date | 2006-07-06 |
| Last Update Date | 2020-08-04 |