| NPI | 1811073158 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELINDA R ALLEN Owner Do 5807-616-1778 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: OK 3741) |
| Enumeration Date | 2006-10-30 |
| Last Update Date | 2016-01-27 |