| NPI | 1386707230 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTHONY SYLVESTER Operator 918-352-2555 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: OK 3443) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OK 19468) |
| 207X00000X Orthopaedic Surgery (Licence: OK 11726) | |
| 363LF0000X Nurse Practitioner, Family (Licence: OK R0034063) | |
| Enumeration Date | 2006-12-19 |
| Last Update Date | 2020-08-22 |