| NPI | 1801355813 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATTHEW J. COMSTOCK Sole Mbr 918-943-5303 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease |
| Enumeration Date | 2019-03-19 |
| Last Update Date | 2019-10-08 |