| NPI | 1215435110 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID L HADLEY Medical Provider 405-924-0938 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: OK 18911) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: OK 18911) |
| Enumeration Date | 2018-01-25 |
| Last Update Date | 2018-01-25 |