| NPI | 1447261235 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELISSA LEE DUTTON Account Manager 405-525-6500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: OK 17260) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: OK 17260) |
| Enumeration Date | 2006-08-10 |
| Last Update Date | 2020-08-22 |