| NPI | 1720039415 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TANA M STUTZMAN VP 918-825-4800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: OK R0071260) |
| Enumeration Date | 2006-05-15 |
| Last Update Date | 2008-04-20 |