| NPI | 1316955198 |
|---|---|
| Doing Business As | GRAND LAKE MEDICAL HEALTH CENTER |
| Entity Type | Organization |
| Authorized Contact | LARRY SMITH CEO 918-273-1841 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty |
| Enumeration Date | 2006-08-04 |
| Last Update Date | 2020-07-31 |