| NPI | 1902262421 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LARRY J DULLYE President 918-585-3372 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) |
| Enumeration Date | 2016-01-13 |
| Last Update Date | 2016-01-13 |