| NPI | 1972628352 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL E. BATTLES Provider 918-825-3389 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QA0000X Family Medicine, Adolescent Medicine (Licence: OK 2080) |
| Enumeration Date | 2007-03-21 |
| Last Update Date | 2020-08-22 |