NPI | 1629240148 |
---|---|
Entity Type | Organization |
Authorized Contact | SARA KATHLEEN METCALF Owner/Physician 405-372-7575 |
Organization Subpart ? | No |
Primary Taxonomy | 174400000X Specialist (Licence: OK 23999) |
Enumeration Date | 2008-03-25 |
Last Update Date | 2017-02-27 |