| NPI | 1285852947 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHAUNCEY B WITCRAFT President 918-542-2812 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: OK 13131) |
| Enumeration Date | 2007-04-20 |
| Last Update Date | 2007-10-04 |