NPI | 1629328364 |
---|---|
Entity Type | Organization |
Authorized Contact | BRADLEY J PETTY President/Owner 918-794-4777 |
Organization Subpart ? | No |
Primary Taxonomy | 261QX0100X Clinic/Center, Occupational Medicine (Licence: OK 8015) |
Enumeration Date | 2012-09-10 |
Last Update Date | 2012-09-10 |