NPI | 1821159922 |
---|---|
Former Legal Business Name | PROVIDENCE OF OKLAHOMA |
Entity Type | Organization |
Authorized Contact | NANCY POE Contract Administrator 520-570-1460 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty |
Enumeration Date | 2006-12-12 |
Last Update Date | 2017-10-17 |