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 |