| NPI | 1316251507 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LENNY STUBBS Physician/ Owner 405-650-8607 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0129X Surgery, Vascular Surgery (Licence: OK 21272) |
| Enumeration Date | 2010-07-30 |
| Last Update Date | 2010-07-30 |