| NPI | 1487883112 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIAN LEE BLUTH Owner/ Medical Doctor 580-772-2344 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: OK 27013) |
| Enumeration Date | 2009-07-01 |
| Last Update Date | 2018-11-19 |