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Organization

RAINDANCER LLC DBA DOCTORS MRI

Active
Other names
Doctors MRI
Organization subpart
No

Provider details

NPI number
Authorized official
KEVIN E. SUTTER (PRESIDENT)
(580) 354-1200
Entity
Organization

Contact information

Practice address
5366 NW CACHE RD STE 4, LAWTON, OK 73505-3335
(580) 531-1200
(580) 531-1202
Mailing address
5366 N.W. CACHE RD. STE 4, LAWTON, OK 73505-3335
(580) 354-1200
(580) 354-1202

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
K3026
TX
2085R0202X
Diagnostic Radiology Physician

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200215350A
OK
Enumeration date
09/03/2008
Last updated
05/01/2012
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