| NPI | 1871473926 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHELSIE PETRIE Sole Owner 405-326-4152 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism |
| Enumeration Date | 2025-09-08 |
| Last Update Date | 2025-11-18 |