| NPI | 1902141765 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK GUNN Cheif Operating Officer 405-230-1142 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: OK 24186) |
| Enumeration Date | 2012-12-05 |
| Last Update Date | 2012-12-05 |