| NPI | 1710638820 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT VALENTINE Physician Owner 918-704-0134 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X |
| Additional Taxonomies | 207Q00000X Family Medicine |
| Enumeration Date | 2022-01-11 |
| Last Update Date | 2022-01-11 |