NPI | 1750717658 |
---|---|
Entity Type | Organization |
Authorized Contact | TRASE MAHAN Manager 918-895-7680 |
Organization Subpart ? | No |
Primary Taxonomy | 246ZS0410X Specialist/Technologist, Other, Surgical Technologist |
Enumeration Date | 2013-09-24 |
Last Update Date | 2022-07-21 |