| NPI | 1265800015 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MITSUKO DEANA SCHOLLE President 918-933-5270 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305R00000X Preferred Provider Organization (Licence: OK 3956) |
| Enumeration Date | 2015-09-10 |
| Last Update Date | 2015-09-10 |