| NPI | 1720843949 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SARAH LYNN BROWN Credentialing Manager 918-944-9197 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology |
| Enumeration Date | 2024-02-16 |
| Last Update Date | 2024-02-16 |