| NPI | 1801293485 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REBECCA FAULKNER Physician/Owner 405-601-6181 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: OK 43765) |
| Enumeration Date | 2014-11-26 |
| Last Update Date | 2014-11-26 |