NPI | 1306121413 |
---|---|
Entity Type | Organization |
Authorized Contact | ELIZABETH PARRO GAWEY Owner/Physician 405-951-8711 |
Organization Subpart ? | No |
Primary Taxonomy | 207N00000X Dermatology (Licence: OK 18603) |
Enumeration Date | 2011-10-20 |
Last Update Date | 2022-07-21 |