| NPI | 1720314875 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL D ROTHWELL Managing Member 405-787-8556 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: OK 10533) |
| Additional Taxonomies | 133NN1002X Nutritionist, Nutrition, Education (Licence: OK 10533) |
| 208D00000X General Practice (Licence: OK 10533) | |
| Enumeration Date | 2009-10-26 |
| Last Update Date | 2009-10-26 |