NPI | 1881101459 |
---|---|
Doing Business As | DIVERSITY FAMILY HEALTH |
Entity Type | Organization |
Authorized Contact | RUSSELL ROOMS Practitioner 405-388-2258 |
Organization Subpart ? | No |
Primary Taxonomy | 261QH0100X Clinic/Center, Health Services |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family |
Enumeration Date | 2018-01-04 |
Last Update Date | 2023-12-19 |