is a Radiology in Oklahoma City, Oklahoma. practices all healthcare services and medical treatments related to Radiology. The NPI Number for is 1225295272. The last update date is .
's current location address is 4913 W Reno Ave, Oklahoma City, Oklahoma. You can contact this provider via phone number 4059484900 and fax number 4059484919. The mailing address for is 4913 W Reno Ave, Oklahoma City, Oklahoma. To know further, please read the information below!
Provider Profile Detail
Provider Name | |
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Address | 4913 W Reno Ave, Oklahoma City, Oklahoma |
Phone Number | 4059484900 |
Fax Number | 4059484919 |
Sole Proprietor | -- |
Credentials | -- |
NPI Number Detail
NPI Number | 1225295272 |
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Provider Enumeration Date | |
Last Updated Date |
Provider Mailing Address Detail
Address | 4913 W Reno Ave |
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City | Oklahoma City |
State | Oklahoma (OK) |
Post Code | 731276339 |
Phone Number | 4059484900 |
Fax Number | 4059484919 |
Provider's Primary Taxonomy Detail
Speciality | Radiology |
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Taxonomy | 261Qr0200X |
Definition: Takes images of the body using radiologic techniques to diagnose disease. |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
371818 | MEDICARE | ||
100731010A | OK | -- |
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