| NPI | 1275518367 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VALERIE B MANNING Physician 405-945-5240 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QA0505X Family Medicine, Adult Medicine (Licence: OK 3811) |
| Enumeration Date | 2005-12-12 |
| Last Update Date | 2012-08-31 |