Organization
RADIOLOGY ASSOCIATES OF EASTERN OKLAHOMA PLLC
Active
Organization
RADIOLOGY ASSOCIATES OF EASTERN OKLAHOMA PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAULA J BUTLER (BUSINESS MANAGER)
(405) 945-4741
Entity
Organization
Contact information
Practice address
3330 NW 56TH ST, SUITE 206, OKLAHOMA CITY, OK 73112-4479
(405) 945-4710
(405) 562-9242
Mailing address
3330 NW 56TH, SUITE 206, OKLAHOMA CITY, OK 73112-4426
(405) 945-4710
(405) 562-9242
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200332530A
—
OK
01
—
DR7722
MEDICARE RAILROAD
OK
Enumeration date
07/20/2010
Last updated
10/14/2011
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