| NPI | 1083757918 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLY BAILEY Billing Manager 405-373-4340 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: OK 19478) |
| Enumeration Date | 2007-02-14 |
| Last Update Date | 2026-03-19 |