| NPI | 1619091584 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STONE MATTHEW HALLQUIST President 918-494-9440 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2088P0231X Urology, Pediatric Urology (Licence: OK 9199) |
| Enumeration Date | 2007-03-18 |
| Last Update Date | 2010-03-30 |