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Organization
SHAWNEE MRI ASSOCIATES, L.L.C.
Active
Organization
SHAWNEE MRI ASSOCIATES, L.L.C.
Active
Other names
Shawnee Open MRI
Organization subpart
No
Provider details
NPI number
Authorized official
RANDALL WAYNE WICKERSHAM (VP OF OPERATIONS)
(405) 418-2200
Entity
Organization
Contact information
Practice address
3700 N KICKAPOO AVE, SUITE 116, SHAWNEE, OK 74804-1707
(405) 275-6747
(405) 275-6749
Mailing address
3700 N KICKAPOO AVE, SUITE 116, SHAWNEE, OK 74804-1707
(405) 275-6747
(405) 275-6749
Taxonomy
Speciality
Code
Description
License number
State
261QM1200X
Magnetic Resonance Imaging (MRI) Clinic/Center
Primary
—
OK
Other
Enumeration date
06/20/2006
Last updated
08/22/2020
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