| NPI | 1720158397 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALLEN J HAMAKER COO 405-949-6481 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 174400000X Specialist (Licence: OK 20735) |
| Enumeration Date | 2006-11-09 |
| Last Update Date | 2014-09-25 |