NPI | 1285891945 |
---|---|
Entity Type | Organization |
Authorized Contact | JOHN C KNIPPERS Physician/Owner 918-394-5437 |
Organization Subpart ? | No |
Primary Taxonomy | 2080A0000X Pediatrics, Adolescent Medicine (Licence: OK 13860) |
Enumeration Date | 2008-05-20 |
Last Update Date | 2008-05-20 |