| NPI | 1669931317 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEREMY P GREEN Director 918-609-1600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2083P0500X Preventive Medicine, Preventive Medicine/Occupational Environmental Medicine |
| Enumeration Date | 2019-03-12 |
| Last Update Date | 2019-03-12 |