| NPI | 1093074650 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JO ANN STURGEON Manager 918-207-0970 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OK 49778) |
| Enumeration Date | 2012-05-16 |
| Last Update Date | 2012-06-08 |