| NPI | 1043454622 |
|---|---|
| Doing Business As | OSI CLINIC OKC, LLC |
| Entity Type | Organization |
| Authorized Contact | MICHAEL C. GOLD President 405-606-2727 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OK 50603) |
| Enumeration Date | 2009-04-27 |
| Last Update Date | 2011-12-20 |