| NPI | 1447543798 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONALD RAY CHADWELL President 405-650-0306 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0300X Internal Medicine, Geriatric Medicine |
| Additional Taxonomies | 207QA0505X Family Medicine, Adult Medicine |
| Enumeration Date | 2011-05-19 |
| Last Update Date | 2011-05-19 |