| NPI | 1619459708 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH JAMES GELINAS Owner/Provider 918-787-3491 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OK 80573) |
| Enumeration Date | 2018-09-05 |
| Last Update Date | 2019-02-25 |