| NPI | 1316496383 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATTHEW PAPPY Sole Owner 405-740-5017 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: WI 66303) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: WA MD60688815) |
| 207Q00000X Family Medicine (Licence: CO DR0057605) | |
| Enumeration Date | 2016-09-30 |
| Last Update Date | 2022-12-29 |