| NPI | 1942490495 |
|---|---|
| Doing Business As | FAMILY MEDICINE OF GLENPOOL |
| Entity Type | Organization |
| Authorized Contact | DONNA J PRICE Owner 918-322-3838 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2007-07-31 |
| Last Update Date | 2007-11-19 |