| NPI | 1942695978 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RANDY O ODERO Md 405-563-3998 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: AZ 41308) |
| Enumeration Date | 2015-04-07 |
| Last Update Date | 2020-10-19 |