NPI | 1497012017 |
---|---|
Doing Business As | AIR DEPOT FAMILY MEDICINE |
Entity Type | Organization |
Authorized Contact | TYSON DINH QUY Physician 405-610-2447 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: OK 25749) |
Enumeration Date | 2012-04-19 |
Last Update Date | 2015-10-31 |