| NPI | 1922014240 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEAN M JENSEN Practice Manager 918-331-2577 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease |
| Enumeration Date | 2006-07-31 |
| Last Update Date | 2009-11-19 |