| 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 |