NPI | 1912090762 |
---|---|
Doing Business As | WOODSON FAMILY MEDICAL CLINIC |
Entity Type | Organization |
Authorized Contact | STEPHEN W WOODSON Owner 918-967-3355 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: OK 2123) |
Enumeration Date | 2006-10-02 |
Last Update Date | 2009-02-10 |