| NPI | 1922671551 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAMI SCRUGGS Chief Operating Officer 405-658-8904 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care |
| Enumeration Date | 2021-07-21 |
| Last Update Date | 2021-07-21 |