NPI | 1306827464 |
---|---|
Entity Type | Organization |
Authorized Contact | ANNA MARIE LEE Executive Director 405-604-4194 |
Organization Subpart ? | No |
Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: OK 0050) |
Enumeration Date | 2005-11-07 |
Last Update Date | 2020-08-22 |