| NPI | 1073565115 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BECKY M JACKSON Billing Office Manager 405-348-1900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology |
| Enumeration Date | 2006-05-17 |
| Last Update Date | 2010-09-20 |