| NPI | 1053431452 |
|---|---|
| Doing Business As | FAMILY MEDICINE ASSOCIATES |
| Entity Type | Organization |
| Authorized Contact | LEROY O. JESKE Medical Director D.O. 918-455-7777 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2007-03-30 |
| Last Update Date | 2008-04-20 |