| NPI | 1659678340 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHERRY L WOLFENKOEHLER Business Office Mgr 405-691-0221 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: OK 12689) |
| Enumeration Date | 2011-02-16 |
| Last Update Date | 2011-02-16 |