| NPI | 1124108378 |
|---|---|
| Doing Business As | CHOCTAW FAMILY MEDICINE & AESTHETICS |
| Entity Type | Organization |
| Authorized Contact | LORRIE A CARPENTER Administrator 405-808-7765 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: OK 18237) |
| Enumeration Date | 2006-10-16 |
| Last Update Date | 2022-02-21 |