| NPI | 1760655773 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BILL J BUFFINGTON Medical Director 405-216-3993 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: OK N/A) |
| Enumeration Date | 2008-04-10 |
| Last Update Date | 2011-10-21 |