| NPI | 1578725636 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRADY G AUNKO Administrator 405-224-7755 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: OK 17600) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: OK PA 467) |
| Enumeration Date | 2008-06-30 |
| Last Update Date | 2008-12-11 |