| NPI | 1730326406 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRACY ENLOE CFO 405-752-3161 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology |
| Additional Taxonomies | 208600000X Surgery |
| Enumeration Date | 2009-01-16 |
| Last Update Date | 2018-10-16 |