| NPI | 1316224058 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY WADE MARTIN Physician/Owner 405-936-0504 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: OK 23664) |
| Enumeration Date | 2011-11-09 |
| Last Update Date | 2012-10-26 |