| NPI | 1144633041 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LARRY DEAN SUMNER Physician 918-456-8000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center Primary Care (Licence: OK 14708) |
| Enumeration Date | 2014-06-09 |
| Last Update Date | 2014-06-09 |