Samuel Grady Lewis in Ponca City - Radiography

Samuel Grady Lewis - NPI 1376735415

Samuel Grady Lewis is a Radiography in Ponca City, Oklahoma. Samuel Grady Lewis practices all healthcare services and medical treatments related to Radiography. The NPI Number for Samuel Grady Lewis is 1376735415. The last update date is 2007-08-13.

Samuel Grady Lewis's current location address is 308 Fairview Ave, Ponca City, Oklahoma. You can contact this provider via phone number 5807659588 and fax number 5807621367. The mailing address for Samuel Grady Lewis is 308 Fairview Ave, Ponca City, Oklahoma. To know further, please read the information below!

Provider Profile Detail

Provider Name Samuel Grady Lewis
Address 308 Fairview Ave, Ponca City, Oklahoma
Phone Number 5807659588
Fax Number 5807621367
Sole Proprietor N
Credentials RTR,RPA,RA

NPI Number Detail

NPI Number 1376735415
Provider Enumeration Date 2007-08-13
Last Updated Date 2007-08-13

Provider Mailing Address Detail

Address 308 Fairview Ave
City Ponca City
State Oklahoma (OK)
Post Code 746012001
Phone Number 5807659588
Fax Number 5807621367

Provider's Primary Taxonomy Detail

Speciality Radiography
Taxonomy 2471C3402X
Definition:
A radiologic technologist who specializes in radiography (also known as x-rays) and is appropriately educated and trained, consistent with nationally recognized standards, state statute, and facility policy in performance of radiographs, exam techniq

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FAQs about Samuel Grady Lewis

What is the unique 10-digit identifier code assigned to Samuel Grady Lewis by the Centers for Medicare & Medicaid Services?

The Samuel Grady Lewis has been issued the NPI (National Provider Identifier) 1376735415 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you provide the complete physical address where Samuel Grady Lewis is located?

The Samuel Grady Lewis is situated at the following address: 308 Fairview Ave, Ponca City, OK, 746012001.

What is Samuel Grady Lewis's specialized field of practice, and what is the corresponding taxonomy classification code?

The Samuel Grady Lewis's area of specialization is Radiography, and the corresponding taxonomy code that categorizes this field of practice is 2471C3402X.

On what date did the Centers for Medicare & Medicaid Services assign the 1376735415 to Samuel Grady Lewis?

The Centers for Medicare & Medicaid Services assigned the 1376735415 to Samuel Grady Lewis on 2007-08-13.

As of what date were the details related to Samuel Grady Lewis most recently updated or revised?

The information pertaining to Samuel Grady Lewis, including its address, specialty, and other relevant details, was last updated or revised on 2007-08-13.

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