| NPI | 1801175161 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WALTER R KLASSEN Owner 580-254-5353 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: OK 23902) |
| Enumeration Date | 2011-08-04 |
| Last Update Date | 2012-02-03 |