| NPI | 1336354182 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL S. SMITH Owner 918-681-4646 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OK R0035256) |
| Enumeration Date | 2007-05-14 |
| Last Update Date | 2009-10-21 |