NPI | 1902367626 |
---|---|
Doing Business As | SUMNER PRIMARY CARE |
Entity Type | Organization |
Authorized Contact | DARREL MORRIS COO 918-527-1234 |
Organization Subpart ? | Yes |
Primary Taxonomy | 207Q00000X Family Medicine |
Additional Taxonomies | 363A00000X Physician Assistant |
363L00000X Nurse Practitioner | |
Enumeration Date | 2019-03-26 |
Last Update Date | 2019-07-08 |