| NPI | 1821423591 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAM LOGAN Practice Manager 405-748-4726 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: OK 27567) |
| Enumeration Date | 2013-09-12 |
| Last Update Date | 2024-09-17 |