NPI | 1003016221 |
---|---|
Entity Type | Organization |
Authorized Contact | ROLF B GAINER Chief Executive Officer 918-438-4257 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: OK 2313) |
Enumeration Date | 2007-07-25 |
Last Update Date | 2008-05-22 |