NPI | 1336552710 |
---|---|
Doing Business As | CENTER FOR MEN |
Entity Type | Organization |
Authorized Contact | WILLIAM BLAINE PRICE President 918-645-5201 |
Organization Subpart ? | No |
Primary Taxonomy | 207QA0505X Family Medicine Adult Medicine (Licence: OK 4111) |
Enumeration Date | 2014-06-03 |
Last Update Date | 2014-10-29 |