| NPI | 1093382467 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REBECCA A VERNIER Office Manager 405-289-0483 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207N00000X Dermatology |
| Enumeration Date | 2021-06-05 |
| Last Update Date | 2026-05-18 |