| 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 |