| NPI | 1043568538 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES BRONSON CEO 405-229-3410 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QA0000X Family Medicine, Adolescent Medicine (Licence: OK 12345) |
| Enumeration Date | 2012-08-15 |
| Last Update Date | 2012-09-18 |