Organization
SWOMRI, LLC
Active
Other names
Southwest Open MRI
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOEL L FRAZIER MD (PRESIDENT)
(405) 609-6145
Entity
Organization
Contact information
Practice address
1044 SW 44TH ST, SUITE 416 # JOHNNIE, OKLAHOMA CITY, OK 73109-3609
(405) 632-4263
(405) 631-4820
Mailing address
1044 SW 44TH ST, SUITE 416 # JOHNNIE, OKLAHOMA CITY, OK 73109-3609
(405) 632-4263
(405) 631-4820
Taxonomy
Speciality
Code
Description
License number
State
261QM1200X
Magnetic Resonance Imaging (MRI) Clinic/Center
Primary
N/A
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
470001158
MEDICARE RAILROAD
OK
Enumeration date
05/20/2006
Last updated
04/12/2012
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