| NPI | 1508493784 |
|---|---|
| Doing Business As | SQUAREONE MEDICAL CENTER |
| Entity Type | Organization |
| Authorized Contact | MATTHEW RILEY BLAIR President 918-521-4185 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QP2300X Clinic/Center Primary Care |
| Enumeration Date | 2020-03-26 |
| Last Update Date | 2021-12-31 |