| NPI | 1316094063 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHANIE LEWIS Office Manager 918-743-7097 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: OK 22665) |
| Enumeration Date | 2007-01-04 |
| Last Update Date | 2020-08-22 |