| NPI | 1568777043 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELLI COLLEEN STEVENSON Office Manager 918-682-7717 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: OK 20183) |
| Enumeration Date | 2010-08-09 |
| Last Update Date | 2010-08-09 |