| NPI | 1992246789 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ZACHARY T BECHTOL Owner / Provider 918-786-4664 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: OK 20108) |
| Enumeration Date | 2017-03-14 |
| Last Update Date | 2024-07-08 |