| NPI | 1053507574 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES R. CAMPBELL President 918-251-1391 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: OK 1880) |
| Additional Taxonomies | 261QM2500X Clinic/Center, Medical Specialty (Licence: OK 1880) |
| Enumeration Date | 2007-09-18 |
| Last Update Date | 2008-06-19 |