| NPI | 1386817872 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA A SWARER Operations Manager 918-453-1234 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: OK 21712) |
| Enumeration Date | 2008-04-07 |
| Last Update Date | 2008-05-14 |