| NPI | 1114982063 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JONATHAN T HAMILTON President/Owner 918-258-9990 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: OK 3896) |
| Enumeration Date | 2006-04-20 |
| Last Update Date | 2010-08-19 |