| NPI | 1326122706 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LORI K DANKER Practice Administrator 405-737-1242 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207R00000X Internal Medicine |
| Enumeration Date | 2006-10-24 |
| Last Update Date | 2008-04-24 |