| NPI | 1043682131 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NATALIE SCHULTZ Practice Manager 405-701-1010 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: OK 1588) |
| Enumeration Date | 2015-10-28 |
| Last Update Date | 2015-10-28 |