NPI | 1760665400 |
---|---|
Entity Type | Organization |
Authorized Contact | JENNIFER GAIL PERKINS Owner 405-533-1332 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: OK R0073110) |
Enumeration Date | 2007-12-17 |
Last Update Date | 2011-02-14 |