| NPI | 1770968810 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL HEATH RAGSDALE Director 918-504-9686 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology |
| Additional Taxonomies | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2015-07-29 |
| Last Update Date | 2022-07-21 |