| NPI | 1831840958 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACOB KRAJICEK Member 918-576-3150 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208M00000X Hospitalist |
| Additional Taxonomies | 207R00000X Internal Medicine |
| 363LF0000X Nurse Practitioner, Family | |
| Enumeration Date | 2022-01-11 |
| Last Update Date | 2022-04-28 |