NPI | 1790893097 |
---|---|
Doing Business As | SOUTHWEST OKLAHOMA FAMILY PRACTICE |
Entity Type | Organization |
Authorized Contact | BRIAN MADDY Chief Executive Officer 405-271-3932 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine |
Enumeration Date | 2006-08-27 |
Last Update Date | 2017-05-02 |