| NPI | 1548440217 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD E STANFORD President 405-945-4795 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: OK 15804) |
| Enumeration Date | 2007-11-09 |
| Last Update Date | 2007-11-09 |