Organization
AVALON DIAGNOSTICS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHANDRA MCKENZIE (BILLING)
(580) 924-3903
Entity
Organization
Contact information
Practice address
208 W EVERGREEN ST, DURANT, OK 74701-4710
(580) 924-3903
(580) 924-3904
Mailing address
208 W EVERGREEN ST, DURANT, OK 74701-4710
(580) 924-3903
(580) 924-3904
Taxonomy
Speciality
Code
Description
License number
State
261QS1200X
Sleep Disorder Diagnostic Clinic/Center
Primary
—
—
Other
Enumeration date
02/18/2013
Last updated
02/18/2013
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