| NPI | 1487826608 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LYNDA G MEYER Office Manager 918-748-7677 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: OK 14327) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OK 14394) |
| Enumeration Date | 2008-03-27 |
| Last Update Date | 2014-07-25 |