| NPI | 1932123510 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDWARD NICHOLAS DIGGES Owner Physician 405-607-8222 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: OK 24718) |
| Enumeration Date | 2006-07-27 |
| Last Update Date | 2014-04-10 |