| NPI | 1770800435 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEN LOVINS Administrator 918-521-7131 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QU0200X Clinic/Center, Urgent Care |
| Additional Taxonomies | 207R00000X Internal Medicine |
| Enumeration Date | 2010-04-21 |
| Last Update Date | 2010-04-21 |