| NPI | 1861180952 |
|---|---|
| Doing Business As | MMS |
| Entity Type | Organization |
| Authorized Contact | JOHN CLOUD Manager 918-638-7737 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 363L00000X Nurse Practitioner |
| 207P00000X Emergency Medicine | |
| 207R00000X Internal Medicine | |
| 363A00000X Physician Assistant | |
| Enumeration Date | 2023-04-26 |
| Last Update Date | 2023-04-26 |