| NPI | 1508212572 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHASTA R MANUEL Vice President Finance 405-272-7282 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 208600000X Surgery |
| Enumeration Date | 2016-05-10 |
| Last Update Date | 2024-03-20 |