| NPI | 1265683049 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SCOTT THOMPSON Chief Executive Officer 918-289-0270 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: NM N/A) |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 207R00000X Internal Medicine | |
| 208D00000X General Practice | |
| 261QM2800X Clinic/Center, Methadone Clinic | |
| Enumeration Date | 2008-10-10 |
| Last Update Date | 2025-02-28 |