NPI | 1003842394 |
---|---|
Doing Business As | SMH REDWOOD CLINIC |
Entity Type | Organization |
Authorized Contact | STEPHANIE SIX Administrator 918-774-1100 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QM2500X Clinic/Center Medical Specialty (Licence: OK 2189) |
Enumeration Date | 2006-06-25 |
Last Update Date | 2022-08-08 |