| NPI | 1598776866 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES BENTON STEWART President 405-751-0020 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207ND0101X Dermatology, MOHS-Micrographic Surgery (Licence: OK 17525) |
| Enumeration Date | 2006-08-11 |
| Last Update Date | 2020-08-22 |