| 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 |