| NPI | 1891192183 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VIRGINIA L VAUGHAN Owner 405-896-9283 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207VB0002X Obstetrics & Gynecology, Bariatric Medicine (Licence: OK 15704) |
| Enumeration Date | 2014-12-02 |
| Last Update Date | 2020-01-14 |