NPI | 1962129726 |
---|---|
Entity Type | Organization |
Authorized Contact | RACHEL OLIVIA CRIST Certified Surgical First Assist 918-944-8333 |
Organization Subpart ? | No |
Primary Taxonomy | 363AS0400X Physician Assistant, Surgical |
Enumeration Date | 2022-10-24 |
Last Update Date | 2022-10-24 |