| NPI | 1477107373 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD THOMPSON Medical Director 405-613-7629 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207YS0123X Otolaryngology Facial Plastic Surgery |
| Enumeration Date | 2019-07-29 |
| Last Update Date | 2019-07-29 |