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Organization
NORTHERN OKLAHOMA DIAGNOSTIC IMAGING LTD
Active
Organization
NORTHERN OKLAHOMA DIAGNOSTIC IMAGING LTD
Active
Other names
Northern Oklahoma Diagnostic Imaging
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DEBRA Z NUSSBAUM (CHIEF FINANCIAL OFFICER)
(405) 775-4227
Entity
Organization
Contact information
Practice address
1204 W WILLOW, SUITE D, ENID, OK 73703
(405) 775-4301
(405) 841-9345
Mailing address
1204 W WILLOW, SUITE D, ENID, OK 73703
(405) 775-4301
(405) 841-9354
Taxonomy
Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200037450A
—
OK
Enumeration date
12/01/2005
Last updated
04/01/2009
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