| NPI | 1497966303 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIAN CODER President 918-251-2666 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: OK 3252) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: OK 1577) |
| 207Q00000X Family Medicine (Licence: OK 1530) | |
| 207Q00000X Family Medicine (Licence: OK 1827) | |
| Enumeration Date | 2007-05-24 |
| Last Update Date | 2023-05-16 |