| NPI | 1447478722 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMIE GILES Office Manager 918-584-0123 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: OK 11516) |
| Enumeration Date | 2007-04-23 |
| Last Update Date | 2020-08-22 |