NPI | 1366644577 |
---|---|
Doing Business As | SAINTS AT SHEPHERD MALL |
Entity Type | Organization |
Authorized Contact | SYNOVIA F BAIN Client Account Administrator 405-231-3824 |
Organization Subpart ? | Yes |
Primary Taxonomy | 207Q00000X Family Medicine |
Additional Taxonomies | 363AM0700X Physician Assistant, Medical |
Enumeration Date | 2007-06-01 |
Last Update Date | 2007-08-08 |