Organization
SOUTHWEST RADIATION ONCOLOGY, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CLINTON A. MEDBERY M.D. (PRESIDENT)
(405) 329-2389
Entity
Organization
Contact information
Practice address
1000 N LEE AVE, OKLAHOMA CITY, OK 73102-1036
(405) 329-2389
(405) 321-0326
Mailing address
PO BOX 1072, NORMAN, OK 73070-1072
(405) 329-2389
(405) 321-0326
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
16840
OK
Other
Enumeration date
08/24/2005
Last updated
05/17/2011
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