NPI | 1144429945 |
---|---|
Entity Type | Organization |
Authorized Contact | TODD D JOHNSON Owner/President 580-338-2070 |
Organization Subpart ? | No |
Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: OK 3456) |
Additional Taxonomies | 111N00000X Chiropractor |
Enumeration Date | 2007-07-12 |
Last Update Date | 2020-08-27 |