| NPI | 1326228750 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEEANN RENE JOHNSON Office Manager 405-272-6909 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: OK 17560) |
| Enumeration Date | 2007-11-14 |
| Last Update Date | 2007-11-14 |