| NPI | 1629386529 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT B. MAMMANA Managing Member 918-502-3600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: OK 20034) |
| Enumeration Date | 2010-09-14 |
| Last Update Date | 2010-10-01 |