| NPI | 1215172804 |
|---|---|
| Doing Business As | PIC MED OF OKLAHOMA |
| Entity Type | Organization |
| Authorized Contact | SHARON SMALLWOOD Medical Review Officer 918-779-7400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: OK 20783) |
| Enumeration Date | 2008-12-10 |
| Last Update Date | 2009-12-21 |