NPI | 1548307416 |
---|---|
Entity Type | Organization |
Authorized Contact | HOWARD JAMES BOOS President 918-749-2992 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: OK 2068) |
Enumeration Date | 2007-01-31 |
Last Update Date | 2012-11-05 |