| NPI | 1831734425 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRITTANI BELL Owner 918-955-5087 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant Surgical |
| Additional Taxonomies | 208600000X Surgery |
| 246ZC0007X Specialist/Technologist, Other Surgical Assistant | |
| Enumeration Date | 2019-11-07 |
| Last Update Date | 2020-03-04 |