| NPI | 1750466934 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GARY K AUGTER Owner 918-426-1616 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207ND0101X Dermatology MOHS-Micrographic Surgery (Licence: OK 3536) |
| Enumeration Date | 2006-10-26 |
| Last Update Date | 2011-10-03 |