| NPI | 1942335773 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY CHRISTIAN Physician 918-494-0400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207ND0101X Dermatology, MOHS-Micrographic Surgery (Licence: OK 23102) |
| Enumeration Date | 2007-02-22 |
| Last Update Date | 2011-12-06 |