| 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 |