| NPI | 1508226507 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELLEY MICHELLE FROST Diabetes Educator 918-744-2449 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty |
| Enumeration Date | 2016-03-03 |
| Last Update Date | 2016-03-03 |