| NPI | 1124160056 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLY BAILEY Billing Manager 405-373-4340 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: OK 18132) |
| Enumeration Date | 2007-02-14 |
| Last Update Date | 2020-08-22 |