| NPI | 1407274160 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMY ELIZABETH HEFLEY Owner 918-249-0004 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: OK 89577) |
| Enumeration Date | 2014-03-31 |
| Last Update Date | 2014-08-16 |