| NPI | 1710386081 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLENE BUFORD Office Manager 405-602-5330 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: OK 28578) |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| Enumeration Date | 2014-08-22 |
| Last Update Date | 2024-03-20 |