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 |