| NPI | 1629365085 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EUGENE BRADLEY GARBER P.C. 918-745-2117 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0122X Surgery, Plastic and Reconstructive Surgery (Licence: OK 15059) |
| Enumeration Date | 2011-07-06 |
| Last Update Date | 2011-07-06 |