| NPI | 1932740172 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMY HURLBURT Owner 918-583-4400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207VG0400X Obstetrics & Gynecology, Gynecology |
| Additional Taxonomies | 207R00000X Internal Medicine |
| 208600000X Surgery | |
| Enumeration Date | 2019-09-29 |
| Last Update Date | 2021-10-26 |