| NPI | 1770937229 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAY LITTLEJOHN Center Director 918-207-3301 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: OK 14708) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: OK 197) |
| 122300000X Dentist (Licence: OK 4359) | |
| 363LF0000X Nurse Practitioner, Family (Licence: OK 74414) | |
| Enumeration Date | 2016-04-21 |
| Last Update Date | 2016-04-21 |