| NPI | 1548398274 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD D WAGNER Co CEO 405-515-1000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207R00000X Internal Medicine |
| 208000000X Pediatrics | |
| Enumeration Date | 2007-03-02 |
| Last Update Date | 2025-01-28 |