| NPI | 1154385730 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JONATHAN E JOINER Chief Operating Officer 918-660-3081 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center Multi-Specialty |
| Enumeration Date | 2006-04-12 |
| Last Update Date | 2022-08-29 |