NPI | 1265651491 |
---|---|
Entity Type | Organization |
Authorized Contact | CONSTANCE GILBERT HONEYCUTT Physician Owner 918-779-5907 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: OK 3069) |
Additional Taxonomies | 204D00000X Neuromusculoskeletal Medicine & OMM (Licence: OK 3069) |
Enumeration Date | 2007-04-25 |
Last Update Date | 2016-05-04 |