| NPI | 1861674251 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN WALLS Office Manager 405-732-6223 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology |
| Additional Taxonomies | 207ZP0101X Pathology, Anatomic Pathology |
| Enumeration Date | 2007-11-28 |
| Last Update Date | 2008-08-15 |