| NPI | 1265510234 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL B. CLENDENIN Owner 918-749-1418 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: OK 13207) |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2020-08-22 |