| NPI | 1154632610 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BARRY A CHARLES Office Manager 405-528-0303 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2080P0006X Pediatrics, Developmental - Behavioral Pediatrics |
| Enumeration Date | 2010-06-29 |
| Last Update Date | 2010-06-29 |