NPI | 1942435672 |
---|---|
Entity Type | Organization |
Authorized Contact | SHARON HALL CEO 918-426-0900 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine |
Additional Taxonomies | 207R00000X Internal Medicine |
363AM0700X Physician Assistant, Medical (Licence: OK 533) | |
Enumeration Date | 2009-05-26 |
Last Update Date | 2020-12-15 |