NPI | 1356124325 |
---|---|
Entity Type | Organization |
Authorized Contact | MICHELLE CLARK COO 405-768-5749 |
Organization Subpart ? | No |
Primary Taxonomy | 2085R0204X Radiology, Vascular & Interventional Radiology |
Additional Taxonomies | 261QM1300X Clinic/Center, Multi-Specialty |
Enumeration Date | 2023-08-15 |
Last Update Date | 2024-05-15 |