Organization
SOUTH ARKANSAS OPEN MRI LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEREK M PRENTICE (MANAGING MEMBER)
(405) 418-2200
Entity
Organization
Contact information
Practice address
2401 W HILLSBORO ST, EL DORADO, AR 71730-6815
(870) 862-4624
Mailing address
11101 HEFNER POINTE DR, STE 218, OKLAHOMA CITY, OK 73120-5054
(405) 418-2900
(405) 418-2200
Taxonomy
Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
Primary
—
—
Other
Enumeration date
06/22/2007
Last updated
08/22/2020
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