| NPI | 1376264572 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAMUEL EDWARD DAKIL President/Urologist 405-360-9966 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332900000X Non-Pharmacy Dispensing Site |
| Enumeration Date | 2022-09-06 |
| Last Update Date | 2022-09-06 |