| NPI | 1407180748 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRANDON RHINEHART President 405-947-6647 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207ND0101X Dermatology MOHS-Micrographic Surgery |
| Additional Taxonomies | 207N00000X Dermatology (Licence: OK 4552) |
| Enumeration Date | 2009-09-18 |
| Last Update Date | 2021-02-24 |