NPI | 1871745802 |
---|---|
Entity Type | Organization |
Authorized Contact | VICTORIA ANN RALEY Office Manager 918-625-6313 |
Organization Subpart ? | No |
Primary Taxonomy | 261QU0200X Clinic/Center, Urgent Care (Licence: OK 21759) |
Enumeration Date | 2008-10-22 |
Last Update Date | 2008-10-22 |