| NPI | 1528417409 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN J JONES President 405-238-4633 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 208000000X Pediatrics |
| Enumeration Date | 2016-06-10 |
| Last Update Date | 2016-06-10 |