NPI | 1689840647 |
---|---|
Entity Type | Organization |
Authorized Contact | GEORGIA DIMAS Office Manager 405-682-0801 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: OK 12525) |
Enumeration Date | 2008-04-30 |
Last Update Date | 2008-04-30 |