NPI | 1497761159 |
---|---|
Entity Type | Organization |
Authorized Contact | JILLIAN HERNDON Billing Director 405-557-1200 |
Organization Subpart ? | No |
Primary Taxonomy | 207QG0300X Family Medicine, Geriatric Medicine |
Enumeration Date | 2006-08-01 |
Last Update Date | 2024-10-22 |