NPI | 1720274699 |
---|---|
Doing Business As | CHILDERS MEDICAL GROUP |
Entity Type | Organization |
Authorized Contact | TRACEY W CHILDERS Medical Director 918-453-1234 |
Organization Subpart ? | No |
Primary Taxonomy | 207Y00000X Otolaryngology (Licence: OK 3296) |
Enumeration Date | 2007-09-24 |
Last Update Date | 2010-09-15 |