| NPI | 1053327486 |
|---|---|
| Doing Business As | ADVANCE FOOD COMPANY EMPLOYEE'S MEDICAL CLINIC |
| Entity Type | Organization |
| Authorized Contact | CARL B. LAWRENCE President And CEO 405-951-2616 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center Primary Care |
| Enumeration Date | 2006-07-31 |
| Last Update Date | 2011-12-19 |