| NPI | 1386874550 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESSE R CAMPBELL President 405-486-8874 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207R00000X Internal Medicine |
| Enumeration Date | 2009-07-21 |
| Last Update Date | 2020-12-16 |