| NPI | 1053445163 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHELLI M WALL Insurance Contracting Specialist 405-600-1950 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RS0012X Internal Medicine, Sleep Medicine |
| Enumeration Date | 2007-03-14 |
| Last Update Date | 2009-06-16 |