| NPI | 1538475561 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRACY WOHLGEMUTH Manager 918-352-9565 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OK 20075) |
| Enumeration Date | 2010-08-27 |
| Last Update Date | 2011-04-11 |