NPI | 1659568301 |
---|---|
Doing Business As | ENLOW FAMILY PRACTICE |
Entity Type | Organization |
Authorized Contact | LISA A SWARER Manager 918-453-1234 |
Organization Subpart ? | Yes |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: OK R0067005) |
Enumeration Date | 2007-09-26 |
Last Update Date | 2008-04-29 |