| NPI | 1083943856 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER SAVAGE Patient Account Manager 405-767-0534 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: OK 10317) |
| Enumeration Date | 2009-12-08 |
| Last Update Date | 2009-12-08 |