NPI | 1417404914 |
---|---|
Entity Type | Organization |
Authorized Contact | KERRI WILLIAMS President 918-331-9333 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: OK 3503) |
Enumeration Date | 2016-09-01 |
Last Update Date | 2016-09-01 |