| NPI | 1750513230 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JIM G MELTON Owner/ Physician 405-241-3539 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0129X Surgery, Vascular Surgery (Licence: OK 3168) |
| Enumeration Date | 2009-08-17 |
| Last Update Date | 2015-11-18 |