208200000X
Tulsa, OK
Specialty
208200000X
Credential
D.O.
NPI
1124150032
1844 E. 15th St., Tulsa, OK 74104
(918) 712-0888Confirm current license and practice information on the official CMS NPI registry.
View NPI RecordThis surgeon specializes in 208200000x procedures performed in an outpatient ambulatory surgical setting.
NUCC Taxonomy: 208200000X