| NPI | 1497292429 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARILYN RANKIN Office Manager 918-647-6297 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QA0505X Family Medicine, Adult Medicine (Licence: 207QA0505X) |
| Additional Taxonomies | 2080P0214X Pediatrics, Pediatric Pulmonology (Licence: OK 2080P0214X) |
| Enumeration Date | 2017-01-29 |
| Last Update Date | 2017-08-15 |