| NPI | 1043814023 |
|---|---|
| Doing Business As | CONCORDIA LIFE PLAN COMMUNITY |
| Entity Type | Organization |
| Authorized Contact | DANIEL EISCHEN Chief Operating Officer 405-720-7200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner |
| Additional Taxonomies | 207Q00000X Family Medicine |
| Enumeration Date | 2020-11-30 |
| Last Update Date | 2020-11-30 |