| NPI | 1831305101 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID PAUL JUBELIRER President 918-742-1275 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: OK 11710) |
| Enumeration Date | 2007-05-15 |
| Last Update Date | 2020-08-22 |