| NPI | 1811917867 |
|---|---|
| Doing Business As | MEMORIAL MEDICAL GROUP GASTROENTEROLOGY |
| Entity Type | Organization |
| Authorized Contact | BRENT SMITH CFO 580-355-8620 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: OK 19976) |
| Enumeration Date | 2006-07-20 |
| Last Update Date | 2015-05-08 |