NPI | 1700953106 |
---|---|
Entity Type | Organization |
Authorized Contact | GREGORY J BYRNE President 918-857-2561 |
Organization Subpart ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner |
Additional Taxonomies | 207P00000X Emergency Medicine |
363A00000X Physician Assistant | |
Enumeration Date | 2006-11-29 |
Last Update Date | 2025-09-11 |