| NPI | 1760427447 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES E MAGNUSSON President 405-579-9400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0122X Surgery Plastic and Reconstructive Surgery (Licence: OK 2713) |
| Enumeration Date | 2006-06-18 |
| Last Update Date | 2008-07-30 |