| NPI | 1932572120 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ZIGGY BROU Practice Manager 405-945-0001 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0122X Surgery, Plastic and Reconstructive Surgery (Licence: OK 31056) |
| Enumeration Date | 2015-11-10 |
| Last Update Date | 2015-11-10 |