| NPI | 1750400230 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GRETA TERHUNE Office Manager 918-743-4046 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: OK 18895) |
| Additional Taxonomies | 251300000X Local Education Agency (LEA) |
| Enumeration Date | 2007-03-28 |
| Last Update Date | 2024-09-26 |