| NPI | 1649515446 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHAD PRESTON EDWARDS Physician/Owner 918-935-3636 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: OK 4353) |
| Enumeration Date | 2012-12-05 |
| Last Update Date | 2021-02-22 |