NPI | 1689723959 |
---|---|
Doing Business As | ADA ADULT MEDICINE CLINIC |
Entity Type | Organization |
Authorized Contact | BRUCE W DENNIS Owner 580-272-0025 |
Organization Subpart ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: OK 18405) |
Enumeration Date | 2007-01-09 |
Last Update Date | 2024-04-19 |