| NPI | 1679711592 |
|---|---|
| Other Name | PURDOM SURGERY CLINIC |
| Entity Type | Organization |
| Authorized Contact | ROY L IKNER CEO 580-225-2511 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: OK 2210) |
| Enumeration Date | 2009-01-30 |
| Last Update Date | 2010-03-01 |