| NPI | 1619689148 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER L CAIN Billing & Credentialing Manager 918-960-2827 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology |
| Enumeration Date | 2022-12-15 |
| Last Update Date | 2022-12-15 |