| NPI | 1437560448 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID BRYAN DYE Owner 405-550-8325 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: OK 16529) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: OK 23636) |
| Enumeration Date | 2014-05-13 |
| Last Update Date | 2014-05-13 |