| NPI | 1942589924 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIM BIGGS Manager 405-753-9600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2082S0099X Plastic Surgery Plastic Surgery Within the Head and Neck (Licence: OK 13287) |
| Enumeration Date | 2011-08-09 |
| Last Update Date | 2011-08-09 |