| 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 |