| NPI | 1740513084 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JULIA ANN BENHAM Coding/Compliance/Contracting Manag 918-296-7045 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: OK 23608) |
| Enumeration Date | 2009-09-17 |
| Last Update Date | 2009-09-17 |