| NPI | 1386062909 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROYICE BERT EVERETT Owner 405-942-5593 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: OK 10054) |
| Enumeration Date | 2014-04-01 |
| Last Update Date | 2014-04-01 |