NPI | 1477762730 |
---|---|
Entity Type | Organization |
Authorized Contact | WESLEY TODD BROOKOVER Practice Owner 918-728-3344 |
Organization Subpart ? | No |
Primary Taxonomy | 208800000X Urology (Licence: OK 9730) |
Additional Taxonomies | 208800000X Urology (Licence: OK 18009) |
Enumeration Date | 2007-05-22 |
Last Update Date | 2008-01-22 |