| NPI | 1629121470 |
|---|---|
| Doing Business As | BROOKHAVEN CLINIC |
| Entity Type | Organization |
| Authorized Contact | BRENT L WAUTERS Owner 405-310-2484 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine |
| Additional Taxonomies | 207Q00000X Family Medicine |
| Enumeration Date | 2007-01-18 |
| Last Update Date | 2020-08-22 |