| NPI | 1952579856 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RENEE DIANE SPURGIN Office Manager 580-255-0633 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: OK 18174) |
| Enumeration Date | 2008-02-13 |
| Last Update Date | 2008-10-14 |