| NPI | 1053337428 |
|---|---|
| Doing Business As | MEMORIAL MEDICAL GROUP MINOR EMERGENCY CLINIC |
| Entity Type | Organization |
| Authorized Contact | BRENT SMITH CFO 580-355-8620 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X (Licence: OK 18333) |
| Enumeration Date | 2006-07-15 |
| Last Update Date | 2015-05-08 |