| NPI | 1013510775 |
|---|---|
| Doing Business As | FAMILY MEDICAL PRACTICE |
| Entity Type | Organization |
| Authorized Contact | TANDALEO GAMBLE CEO 918-760-2200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2020-11-17 |
| Last Update Date | 2022-04-12 |