| NPI | 1205932670 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINDA M. BLUNT Owner 918-343-3339 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: OK 21795) |
| Enumeration Date | 2006-09-15 |
| Last Update Date | 2020-08-22 |