| NPI | 1255641650 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEVIN M. WEBB President 918-770-4441 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 208D00000X General Practice |
| Enumeration Date | 2010-10-19 |
| Last Update Date | 2010-12-27 |