NPI | 1568722817 |
---|---|
Entity Type | Organization |
Authorized Contact | ROBERT WILLIAM RADER President 405-830-6673 |
Organization Subpart ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: OK 16912) |
Enumeration Date | 2012-05-21 |
Last Update Date | 2012-05-21 |