NPI | 1982872719 |
---|---|
Entity Type | Organization |
Authorized Contact | PETE JONES Medical Director 918-425-8600 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: OK Oklahoma 18827) |
Enumeration Date | 2008-02-14 |
Last Update Date | 2008-02-14 |