| NPI | 1629724026 |
|---|---|
| Doing Business As | BLUE SPARROW WELLNESS |
| Entity Type | Organization |
| Authorized Contact | CHARLES DAVID MURR Physician 918-770-2698 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice |
| Enumeration Date | 2022-02-23 |
| Last Update Date | 2022-02-23 |