| NPI | 1356971071 |
|---|---|
| Doing Business As | OKLAHOMA MENS CLINIC |
| Entity Type | Organization |
| Authorized Contact | JENNIFER RUBOTTOM Business Manager 316-633-1507 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X |
| Enumeration Date | 2020-01-22 |
| Last Update Date | 2020-01-22 |