NPI | 1760848444 |
---|---|
Entity Type | Organization |
Authorized Contact | STUART W SCHRADER Managing Member 405-418-5400 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: OK 3883) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: OK 23229) |
207Q00000X Family Medicine (Licence: OK 3770) | |
207Q00000X Family Medicine (Licence: OK 20170) | |
207R00000X Internal Medicine (Licence: OK 3883) | |
208000000X Pediatrics (Licence: OK 3883) | |
Enumeration Date | 2016-01-11 |
Last Update Date | 2016-01-27 |