| NPI | 1962697987 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CLARENCE VOTH Business Manager 405-946-5563 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207YX0007X Otolaryngology, Plastic Surgery within the Head & Neck (Licence: OK 20098) |
| Enumeration Date | 2007-09-12 |
| Last Update Date | 2008-07-01 |