| NPI | 1275286080 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AARON FLECK CEO 405-608-8060 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology |
| Additional Taxonomies | 332900000X Non-Pharmacy Dispensing Site |
| Enumeration Date | 2022-02-01 |
| Last Update Date | 2024-06-12 |