| NPI | 1013421023 |
|---|---|
| Doing Business As | FAMILY HEALTH AND WELLNESS CLINIC |
| Entity Type | Organization |
| Authorized Contact | SUSAN C. WILLARD CEO 918-740-4630 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2017-11-29 |
| Last Update Date | 2017-11-29 |