| NPI | 1588198816 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NAOMI JONES Managing Director 918-745-0800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics |
| Additional Taxonomies | 363L00000X Nurse Practitioner |
| Enumeration Date | 2017-04-13 |
| Last Update Date | 2017-04-13 |