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1184341489
PERIGON PROSTATE CENTER LLC
OKLAHOMA CITY, OK
NPI
1184341489
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Entity Type
Organization
Authorized Contact
DEREK PRENTICE
Owner
405-650-4786
Organization Subpart ?
No
Primary Taxonomy
261QR0208X Clinic/Center, Radiology, Mobile
Enumeration Date
2022-10-26
Last Update Date
2022-10-26
Business Address
PERIGON PROSTATE CENTER LLC
100 SE 59TH ST
OKLAHOMA CITY, OK 73129-3616
Phone number: 408-418-2200
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Mailing Address
PERIGON PROSTATE CENTER LLC
5600 N MAY AVE STE 100
OKLAHOMA CITY, OK 73112-4275
Phone number: 405-418-2200
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