NPI | 1316183536 |
---|---|
Entity Type | Organization |
Authorized Contact | JEFF BARENTINE Owner 918-486-7425 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
Additional Taxonomies | 261QU0200X Clinic/Center, Urgent Care |
Enumeration Date | 2008-12-17 |
Last Update Date | 2009-01-07 |