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Organization
BURGESS IMAGING, LLC
Active
Organization
BURGESS IMAGING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHABON BURGESS (OWNER/MANAGER)
(580) 212-2558
Entity
Organization
Contact information
Practice address
508 E WILSON ST STE B, VALLIANT, OK 74764-9115
(580) 933-9289
Mailing address
508 E WILSON ST STE B, VALLIANT, OK 74764-9115
(833) 851-7433
Taxonomy
Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
Primary
—
—
Other
Enumeration date
08/22/2022
Last updated
08/01/2023
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