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 |