| NPI | 1881648285 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHASTA RENE MANUEL Vice President Finance 405-272-7282 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 207K00000X Allergy & Immunology |
| 207N00000X Dermatology | |
| 207Q00000X Family Medicine | |
| 207U00000X Nuclear Medicine | |
| 207V00000X Obstetrics & Gynecology | |
| 207W00000X Ophthalmology | |
| 207X00000X Orthopaedic Surgery | |
| 208000000X Pediatrics | |
| 208100000X Physical Medicine & Rehabilitation | |
| 2085R0202X Radiology, Diagnostic Radiology | |
| 2085U0001X Radiology, Diagnostic Ultrasound | |
| 208600000X Surgery | |
| 208800000X Urology | |
| Enumeration Date | 2006-05-20 |
| Last Update Date | 2024-03-27 |