| NPI | 1841319126 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DENNIS EUGENE DEAKINS Manager 918-299-1045 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: OK 10867) |
| Enumeration Date | 2007-03-28 |
| Last Update Date | 2020-08-22 |