| NPI | 1821267717 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATTHEW THEODORE DRAELOS Owner/Operator 405-330-2362 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: OK 15748) |
| Enumeration Date | 2008-02-25 |
| Last Update Date | 2008-10-22 |