| NPI | 1033308085 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMY ANNE FORD President 580-920-6156 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2083P0011X Preventive Medicine, Undersea and Hyperbaric Medicine (Licence: OK 1932) |
| Enumeration Date | 2007-10-16 |
| Last Update Date | 2007-10-16 |