| NPI | 1629227897 |
|---|---|
| Doing Business As | ABSENTEE SHAWNEE TRIBAL HEALTH SYSTEM (LITTLE AXE HEALTH CENTER) |
| Doing Business As | LITTLE AXE HEALTH CENTER |
| Entity Type | Organization |
| Authorized Contact | MARK E ROGERS Executive Director 405-447-0300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2008-09-12 |
| Last Update Date | 2021-12-28 |