| NPI | 1295857399 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRUCE DANIELS Owner Doctor 405-636-1166 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: OK 10948) |
| Enumeration Date | 2007-04-06 |
| Last Update Date | 2007-10-16 |