NPI | 1144466962 |
---|---|
Entity Type | Organization |
Authorized Contact | JOSEPH EDWARD WOJCIECHOWSKI Dr. 405-328-1201 |
Organization Subpart ? | No |
Primary Taxonomy | 305S00000X Point of Service (Licence: OK 3848) |
Enumeration Date | 2008-12-29 |
Last Update Date | 2008-12-29 |