| NPI | 1922350719 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK GREGORY LIPE Physician 405-760-7721 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: OK 207K00) |
| Enumeration Date | 2012-10-04 |
| Last Update Date | 2012-10-04 |