| NPI | 1528253549 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM RANDALL KAKISH Vic President 405-749-4247 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology |
| Enumeration Date | 2007-09-12 |
| Last Update Date | 2007-10-31 |