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 Pain Medicine, Pain Medicine | |
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 |