| NPI | 1811061625 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICK ANSON REYNOLDS Member 405-634-2929 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: OK 261qm2500X) |
| Enumeration Date | 2006-11-20 |
| Last Update Date | 2020-08-22 |