| NPI | 1447244827 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GARY THANE DENSLOW President 918-949-9898 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207WX0110X Ophthalmology Pediatric Ophthalmology and Strabismus Specialist |
| Enumeration Date | 2005-08-31 |
| Last Update Date | 2020-02-11 |