| NPI | 1396636031 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SCOTT SHADFAR Manager 405-834-3275 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207YX0905X Otolaryngology, Otolaryngology/Facial Plastic Surgery |
| Additional Taxonomies | 207Y00000X Otolaryngology |
| Enumeration Date | 2025-07-11 |
| Last Update Date | 2025-07-11 |