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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