| NPI | 1033562202 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONALD R HAMILTON President 918-230-9845 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2080P0006X Pediatrics, Developmental - Behavioral Pediatrics (Licence: OK 13868) |
| Enumeration Date | 2016-07-22 |
| Last Update Date | 2016-07-22 |