| NPI | 1497743181 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JON CHRISTOPHER LIPRIE Managing Member 405-749-1484 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: OK 18076) |
| Enumeration Date | 2005-10-07 |
| Last Update Date | 2020-08-22 |