| NPI | 1831349281 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSANNAH L COLLIER Manager 405-751-0020 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207ND0101X Dermatology MOHS-Micrographic Surgery (Licence: OK 24822) |
| Enumeration Date | 2008-09-23 |
| Last Update Date | 2008-09-23 |