| NPI | 1285022939 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELISSA A DIETZ Managing Member 918-749-1413 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: OK 24521) |
| Enumeration Date | 2015-01-05 |
| Last Update Date | 2022-07-11 |