| NPI | 1962750067 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RONALD SCOTT VAUGHN President & Chief Executive Officer 918-878-7303 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2012-08-21 |
| Last Update Date | 2012-10-24 |