| NPI | 1659780526 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DOUG SWIM CEO 405-513-7257 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics |
| Additional Taxonomies | 207R00000X Internal Medicine |
| Enumeration Date | 2014-08-05 |
| Last Update Date | 2014-08-06 |