NPI | 1275670432 |
---|---|
Entity Type | Organization |
Authorized Contact | TAMMY SHAFFER Medical Manager Coordinator 405-744-6211 |
Organization Subpart ? | No |
Primary Taxonomy | 207R00000X Internal Medicine |
Additional Taxonomies | 225100000X Physical Therapist |
Enumeration Date | 2007-01-30 |
Last Update Date | 2020-08-22 |