| NPI | 1356351027 |
|---|---|
| Other Name | PPAEO PEDIATRICS |
| Entity Type | Organization |
| Authorized Contact | VICTORIA PARKS Director Health Services Op 918-587-4621 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics |
| Enumeration Date | 2006-08-08 |
| Last Update Date | 2019-08-22 |