| NPI | 1619579794 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VALERIE SHEHAN Billing 918-895-7680 |
| Organization Subpart ? | No |
| Primary Taxonomy | 246ZS0410X Specialist/Technologist, Other Surgical Technologist |
| Enumeration Date | 2020-11-12 |
| Last Update Date | 2020-11-18 |