| NPI | 1558472506 |
|---|---|
| Doing Business As | MEMORIAL MEDICAL GROUP SURGERY |
| Entity Type | Organization |
| Authorized Contact | BRENT SMITH CFO 580-355-8620 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0129X Surgery, Vascular Surgery (Licence: OK 14399) |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2015-05-08 |