| NPI | 1497362305 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JERRY T MCLAUGHLIN President 405-315-8180 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 208VP0000X Pain Medicine, Pain Medicine |
| Enumeration Date | 2020-09-24 |
| Last Update Date | 2020-09-27 |