| NPI | 1740775626 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID CHRISTOPHER WHYBREW CEO & Secretary/Treasurer 918-859-5334 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice |
| Enumeration Date | 2018-06-25 |
| Last Update Date | 2019-04-24 |