| NPI | 1215337050 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM BLAINE PRICE Owner 918-622-2500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QA0505X Family Medicine Adult Medicine (Licence: OK 4111) |
| Enumeration Date | 2014-08-29 |
| Last Update Date | 2014-08-29 |