| NPI | 1184335945 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIRBY HESKETT Practice Administrator 918-261-8196 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty |
| Enumeration Date | 2022-12-12 |
| Last Update Date | 2024-06-27 |