| NPI | 1972963353 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRET RICE HAYMORE Medical Director 405-563-8961 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: OK 28286) |
| Enumeration Date | 2016-02-29 |
| Last Update Date | 2016-02-29 |