| NPI | 1265525919 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM GENE BERNHARDT President Physician 405-737-6691 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: OK 7275) |
| Additional Taxonomies | 261QM2500X Clinic/Center, Medical Specialty (Licence: OK 7275) |
| Enumeration Date | 2006-10-02 |
| Last Update Date | 2011-06-08 |