NPI | 1093267601 |
---|---|
Entity Type | Organization |
Authorized Contact | KEITH GUCWA Dir Of Facilities And Purchasing 918-779-7416 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
Enumeration Date | 2016-10-30 |
Last Update Date | 2016-10-30 |