| NPI | 1215151600 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDWIN A BERGER President 918-748-8111 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: OK 1460) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: OK 1308) |
| Enumeration Date | 2007-04-13 |
| Last Update Date | 2009-11-10 |