| NPI | 1134413537 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATTHEW JAMES HAAG Medical Director 405-602-2525 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: OK 22701) |
| Enumeration Date | 2011-06-02 |
| Last Update Date | 2015-04-23 |