| NPI | 1134395940 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CATHERINE P IHLE Office Manager 918-502-4777 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: OK 11650) |
| Additional Taxonomies | 261QP2300X Clinic/Center, Primary Care |
| Enumeration Date | 2008-05-01 |
| Last Update Date | 2024-07-29 |