| NPI | 1841218401 |
|---|---|
| Doing Business As | SOUTHWEST OKLAHOMA SURGICAL GROUP |
| Entity Type | Organization |
| Authorized Contact | DAVID BLACKMON CFO 580-357-9984 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: OK 22527) |
| Enumeration Date | 2006-07-18 |
| Last Update Date | 2020-08-22 |