| NPI | 1275802183 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DARRELL J PICKARD Medical Director 405-636-1508 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: OK 0019) |
| Enumeration Date | 2011-12-21 |
| Last Update Date | 2011-12-21 |