NPI | 1407035447 |
---|---|
Entity Type | Organization |
Authorized Contact | STEVEN D. KING Owner 405-340-2600 |
Organization Subpart ? | No |
Primary Taxonomy | 207QS0010X Family Medicine, Sports Medicine (Licence: OK 3770) |
Enumeration Date | 2007-10-26 |
Last Update Date | 2007-10-26 |