NPI | 1730207788 |
---|---|
Other Name | IDEAL IMAGE |
Entity Type | Organization |
Authorized Contact | TYREE L SEALS Medical Director 918-582-7733 |
Organization Subpart ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: OK 3637) |
Enumeration Date | 2007-03-27 |
Last Update Date | 2007-08-09 |