| NPI | 1821541418 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEITH GUCWA Dir. Of Purchasing And Facilities 918-779-7416 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Enumeration Date | 2016-07-29 |
| Last Update Date | 2016-07-29 |