NPI | 1073835799 |
---|---|
Entity Type | Organization |
Authorized Contact | JERRY C CRAIN Physician/President 918-371-5885 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: OK 1867) |
Enumeration Date | 2010-02-22 |
Last Update Date | 2010-02-22 |