| NPI | 1922559327 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRISHA GRUS VP Managed Care Contracting 405-875-5025 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2016-10-20 |
| Last Update Date | 2016-10-20 |