| NPI | 1417001363 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JON MICHAEL MCCAULEY Practice Owner 918-423-8200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: OK 16988) |
| Enumeration Date | 2007-01-22 |
| Last Update Date | 2020-08-22 |