| NPI | 1831485267 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT E REYNOLDS President 405-752-0871 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: OK 20272) |
| Additional Taxonomies | 332900000X Non-Pharmacy Dispensing Site |
| Enumeration Date | 2011-06-23 |
| Last Update Date | 2019-10-16 |