| NPI | 1972156842 |
|---|---|
| Doing Business As | MEDICAL PLAZA ENDOSCOPY |
| Entity Type | Organization |
| Authorized Contact | RICHARD D WAGNER Co CEO 405-515-1000 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2019-07-19 |
| Last Update Date | 2025-01-28 |