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 |