| NPI | 1477009256 |
|---|---|
| Doing Business As | NEW LEAF WELLNESS CENTER |
| Entity Type | Organization |
| Authorized Contact | DAVID RYKER Supervising Physican 405-751-9800 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 174400000X Specialist (Licence: OK 73548) |
| Additional Taxonomies | 174400000X Specialist (Licence: OK 9365) |
| 363L00000X Nurse Practitioner (Licence: OK 79139) | |
| 363L00000X Nurse Practitioner (Licence: OK r0078723) | |
| 363L00000X Nurse Practitioner (Licence: OK 86262) | |
| Enumeration Date | 2016-08-31 |
| Last Update Date | 2016-08-31 |