NPI | 1548751860 |
---|---|
Doing Business As | SOLIDARITUS FHC - OWASSO |
Entity Type | Organization |
Authorized Contact | MIKE KAPSA CFO 539-202-1585 |
Organization Subpart ? | Yes |
Primary Taxonomy | 207Q00000X Family Medicine |
Enumeration Date | 2018-05-22 |
Last Update Date | 2020-05-14 |