| NPI | 1174903405 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK FISHER Physician/Owner 405-550-4403 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: OK 19624) |
| Enumeration Date | 2015-06-02 |
| Last Update Date | 2015-06-02 |