| NPI | 1942298385 |
|---|---|
| Doing Business As | BISHOPCREEK MEDICAL AND COUNSELING GROUP |
| Entity Type | Organization |
| Authorized Contact | GREGORY E SHADID Co Owner 405-579-5858 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty |
| Enumeration Date | 2005-10-10 |
| Last Update Date | 2008-09-08 |