Organization
MIDWEST MOBILE RADIOGRAPHICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICK HANNEMAN (PRESIDENT)
(918) 691-2688
Entity
Organization
Contact information
Practice address
2406 E FAIRFIELD CT, OOLOGAH, OK 74053-4106
(918) 691-2688
Mailing address
2406 E FAIRFIELD CT, OOLOGAH, OK 74053-4106
(918) 691-2688
Taxonomy
Speciality
Code
Description
License number
State
335V00000X
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
Primary
—
—
Other
Enumeration date
08/30/2011
Last updated
08/30/2011
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