| NPI | 1235666314 |
|---|---|
| Doing Business As | PHOENIX MEDICAL CENTER |
| Entity Type | Organization |
| Authorized Contact | NIKO KOLIASTASIS CEO 918-636-3930 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2017-05-19 |
| Last Update Date | 2022-07-21 |