| NPI | 1316382930 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATTHEW PODANY Radiology Practitioner Assistant 405-343-6341 |
| Organization Subpart ? | No |
| Primary Taxonomy | 243U00000X Radiology Practitioner Assistant (Licence: OK 11OK1439) |
| Additional Taxonomies | 2471C3402X Radiologic Technologist Radiography (Licence: OK 415881) |
| Enumeration Date | 2013-05-09 |
| Last Update Date | 2013-05-13 |