| NPI | 1700973690 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICHOLAS Z OKESON Physician/Owner 7275-635-2038 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL OS7320) |
| Enumeration Date | 2006-10-10 |
| Last Update Date | 2020-08-22 |