NPI | 1902106586 |
---|---|
Entity Type | Organization |
Authorized Contact | CHAD L. NICHOLS Vice President 405-601-0954 |
Organization Subpart ? | No |
Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: OK PA03727) |
Enumeration Date | 2010-10-28 |
Last Update Date | 2010-10-28 |