| NPI | 1801170212 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL C GOLD President 405-606-2727 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: OK R0058479) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: OK R0058479) |
| Enumeration Date | 2011-10-04 |
| Last Update Date | 2014-03-21 |