| NPI | 1174745830 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RODNEY JAMES MILES President 405-794-4664 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: OK 13897) |
| Enumeration Date | 2007-05-03 |
| Last Update Date | 2020-08-22 |