NPI | 1912155359 |
---|---|
Entity Type | Organization |
Authorized Contact | THOMAS W RICKNER CEO 918-527-2271 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: OK 23733) |
Enumeration Date | 2008-08-27 |
Last Update Date | 2008-08-27 |