| NPI | 1518028125 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | C KATHLEEN WORRALL Office Administration 918-744-0228 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207YX0007X Otolaryngology, Plastic Surgery within the Head & Neck |
| Enumeration Date | 2006-12-13 |
| Last Update Date | 2020-08-22 |