| NPI | 1427717461 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHANIE JUSTUS Nurse Practitioner 918-322-7400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Additional Taxonomies | 261QI0500X Clinic/Center, Infusion Therapy |
| Enumeration Date | 2021-12-16 |
| Last Update Date | 2021-12-16 |