| NPI | 1750597449 |
|---|---|
| Doing Business As | OKLAHOMA KIDNEY STONE CENTER |
| Entity Type | Organization |
| Authorized Contact | STEWART C BURCHETT Executive Dir 405-604-4183 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: OK 0086) |
| Additional Taxonomies | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2007-05-16 |
| Last Update Date | 2022-07-21 |