| NPI | 1205864253 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHNNY RAY GRIGGS Medical Director 405-947-5557 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2080P0203X Pediatrics, Pediatric Critical Care Medicine |
| Enumeration Date | 2006-06-29 |
| Last Update Date | 2008-04-20 |