| NPI | 1497204465 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE PAPPY Sole Owner 405-543-4758 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: WA MD60687206) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CO DR0057542) |
| Enumeration Date | 2016-09-30 |
| Last Update Date | 2020-06-11 |