| NPI | 1952937237 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRETT CAUTHEN Member 405-445-7492 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 261QX0100X Clinic/Center, Occupational Medicine |
| Enumeration Date | 2020-03-18 |
| Last Update Date | 2020-03-18 |