| NPI | 1154561736 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFERY ALLEN SWETNAM Medical Director 918-298-8080 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: OK 25365) |
| Enumeration Date | 2009-02-23 |
| Last Update Date | 2009-02-23 |