| NPI | 1770736506 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD R. POLK Owner 918-749-0898 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207VG0400X Obstetrics & Gynecology Gynecology (Licence: OK 1343) |
| Enumeration Date | 2008-10-24 |
| Last Update Date | 2008-10-24 |