| NPI | 1255524989 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK GALLIART VP Business Development 405-372-1480 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 208600000X Surgery |
| 208M00000X Hospitalist | |
| 208VP0000X | |
| 363AM0700X Physician Assistant, Medical | |
| 363LF0000X Nurse Practitioner, Family | |
| 367500000X Nurse Anesthetist, Certified Registered | |
| 207L00000X Anesthesiology | |
| 2084N0400X Psychiatry & Neurology, Neurology | |
| Enumeration Date | 2007-08-27 |
| Last Update Date | 2007-08-27 |