NPI | 1225257785 |
---|---|
Entity Type | Organization |
Authorized Contact | CHRISTANNA CULLEN HOLSEY President 405-656-2306 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: OK 2172) |
Enumeration Date | 2007-04-24 |
Last Update Date | 2020-08-22 |