| NPI | 1922446780 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CLINTON BRADSHAW WEBSTER Physician And President 405-842-9732 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208200000X Plastic Surgery (Licence: OK 29518) |
| Enumeration Date | 2013-06-13 |
| Last Update Date | 2013-06-13 |