| NPI | 1710479324 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TONYA CASEY COO 405-241-3539 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0129X Surgery, Vascular Surgery |
| Additional Taxonomies | 207RI0011X Internal Medicine, Interventional Cardiology |
| Enumeration Date | 2018-05-31 |
| Last Update Date | 2018-05-31 |