NPI | 1003991787 |
---|---|
Entity Type | Organization |
Authorized Contact | JOSEPH CLIFTON BROOME President 405-787-4915 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: OK 23006) |
Enumeration Date | 2006-10-25 |
Last Update Date | 2011-05-10 |