| NPI | 1477833523 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN GRUNOW Pediatric Gastroenterology Chair 405-271-5884 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner Pediatrics (Licence: OK 81001) |
| Enumeration Date | 2011-08-22 |
| Last Update Date | 2011-08-22 |