| NPI | 1225298979 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CRAIGE MONTANE BRESTEL Sole Member 918-687-5477 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: OK 19912) |
| Enumeration Date | 2008-06-16 |
| Last Update Date | 2012-10-31 |