| NPI | 1750482741 |
|---|---|
| Doing Business As | PERRY WELLNES CENTER |
| Entity Type | Organization |
| Authorized Contact | JONTHAN RADKOFF EK Owner Physician 580-336-3735 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: OK 23862) |
| Enumeration Date | 2006-09-25 |
| Last Update Date | 2008-03-03 |