| NPI | 1871667824 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK ALAN MYERS Owner 918-331-2599 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: OK 17750) |
| Enumeration Date | 2006-11-20 |
| Last Update Date | 2020-08-22 |