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Organization
INTEGRIS SOUTH OKLAHOMA CITY HOSPITAL CORPORATION
Active
Organization
INTEGRIS SOUTH OKLAHOMA CITY HOSPITAL CORPORATION
Active
Other names
Integris Southwest Breast Center
Organization subpart
No
Provider details
NPI number
Authorized official
STANELY HUPFELD (PRESIDENT/CEO)
(405) 949-6066
Entity
Organization
Contact information
Practice address
4100 S DOUGLAS AVE, OKLAHOMA CITY, OK 73109-3210
(405) 636-7480
Mailing address
5400 N INDEPENDENCE AVE, 100, OKLAHOMA CITY, OK 73112-5300
Taxonomy
Speciality
Code
Description
License number
State
261QR0206X
Mammography Clinic/Center
Primary
2289
OK
Other
Enumeration date
07/31/2006
Last updated
05/11/2010
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