2086S0105X
Tulsa, OK
Specialty
2086S0105X
Credential
MD
NPI
1730523655
4800 S. 109th East Ave, Tulsa, OK 74146
(918) 742-2502Confirm current license and practice information on the official CMS NPI registry.
View NPI RecordThis surgeon specializes in 2086s0105x procedures performed in an outpatient ambulatory surgical setting.
NUCC Taxonomy: 2086S0105X