| NPI | 1194583963 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY LYNN WATTS Owner, Medical Doctor 405-205-7424 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085R0202X Radiology Diagnostic Radiology |
| Enumeration Date | 2024-03-07 |
| Last Update Date | 2024-03-07 |