| 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 |