| NPI | 1609858877 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHEILA JOANN STANEK Physician 405-377-8367 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 261QP2300X Clinic/Center, Primary Care (Licence: OK 3222) |
| Enumeration Date | 2005-11-15 |
| Last Update Date | 2013-04-08 |