| NPI | 1861594046 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LARRY KYLE HRDLICKA D.O. 918-341-5311 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0129X Surgery, Vascular Surgery (Licence: OK 8161) |
| Enumeration Date | 2006-09-01 |
| Last Update Date | 2020-08-22 |