NPI | 1124350301 |
---|---|
Entity Type | Organization |
Authorized Contact | ROBERT FARROW President 918-689-7705 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: OK 13179) |
Enumeration Date | 2010-02-12 |
Last Update Date | 2010-02-12 |