| NPI | 1669667689 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD BEACH DAWSON President 405-636-1506 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology |
| Additional Taxonomies | 261QM2500X Clinic/Center, Medical Specialty (Licence: OK 9910) |
| Enumeration Date | 2007-09-12 |
| Last Update Date | 2020-10-21 |