Organization
JETRAD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALEX AVERY WEEKS (PRESIDENT)
(405) 789-3889
Entity
Organization
Contact information
Practice address
5825 TULAKES AVE, BETHANY, OK 73008-7009
(405) 709-1043
Mailing address
5825 TULAKES AVE, BETHANY, OK 73008-7009
(405) 709-1043
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Enumeration date
07/27/2006
Last updated
08/22/2020
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