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Organization
ARDMORE PET ASSOCIATES
Active
Organization
ARDMORE PET ASSOCIATES
Active
Other names
Ardmore Diagnostic Imaging
Organization subpart
No
Provider details
NPI number
Authorized official
MS. STACY JO ROBERTS (DIRECTOR)
(580) 221-0894
Entity
Organization
Contact information
Practice address
908 N ROCKFORD RD, SUITE C, ARDMORE, OK 73401-2540
(580) 223-7226
(580) 223-7228
Mailing address
720 N COMMERCE ST, PMB 655, ARDMORE, OK 73401-3915
(580) 223-7226
(580) 223-7228
Taxonomy
Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
Primary
—
—
Other
Enumeration date
10/11/2009
Last updated
10/11/2009
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