| NPI | 1063733954 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSHUA COLGROVE KERSHEN Physician 405-644-5160 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: OK 21739) |
| Enumeration Date | 2010-06-15 |
| Last Update Date | 2015-07-22 |