| NPI | 1548333008 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GAYLE J BURDEN Director Of Operations 918-331-1090 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: OK 13096) |
| Enumeration Date | 2006-11-15 |
| Last Update Date | 2020-08-22 |