Organization
NORMAN RADIOLOGY SERVICES, INC
Active
Organization
NORMAN RADIOLOGY SERVICES, INC
Active
Other names
Southwest Radiology Associates
Organization subpart
No
Provider details
NPI number
Authorized official
DEBRA JENNINGS (PRACTICE MANAGER)
(405) 928-2530
Entity
Organization
Contact information
Practice address
1125 N PORTER AVE, SUITE 100, NORMAN, OK 73071-6443
(405) 364-1071
Mailing address
PO BOX 1387, NORMAN, OK 73070-1387
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100730000A
—
OK
05
—
100730000B
—
OK
05
—
100730000C
—
OK
01
—
CF8580
RR MEDICARE
OK
Enumeration date
11/04/2005
Last updated
02/03/2012
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