| NPI | 1447914692 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHERINE PELLOW Manager 405-252-0811 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 261QU0200X Clinic/Center, Urgent Care |
| Enumeration Date | 2021-10-25 |
| Last Update Date | 2021-10-25 |