| NPI | 1760720668 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS A. SWAFFORD Co Owner 405-372-2390 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology |
| Enumeration Date | 2013-01-28 |
| Last Update Date | 2013-01-28 |