NPI | 1871251769 |
---|---|
Entity Type | Organization |
Authorized Contact | JOHN BELARDO Medical Director 405-755-7700 |
Organization Subpart ? | No |
Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
Additional Taxonomies | 261QS0132X Clinic/Center, Ophthalmologic Surgery |
Enumeration Date | 2021-12-07 |
Last Update Date | 2023-08-22 |