Organization
HEFNER PET ASSOCIATES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DEREK PRENTICE (MANAGING MEMBER)
(405) 418-2200
Entity
Organization
Contact information
Practice address
3400 W HEFNER RD, OKLAHOMA CITY, OK 73120
(405) 418-0900
(405) 418-0901
Mailing address
11101 HEFNER POINTE DR, #222, OKLAHOMA CITY, OK 73120-5054
(405) 418-2200
(405) 418-2201
Taxonomy
Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
Primary
—
—
Other
Enumeration date
04/07/2008
Last updated
04/11/2008
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