Organization
INTEGRIS SOUTH OKLAHOMA CITY HOSPITAL CORPORATION
Active
Other names
Integris Southwest Breast Center
Organization subpart
No
Provider details
NPI number
Authorized official
STANELY HUPFELD (PRESIDENT/CEO)
(405) 949-6066
Entity
Organization
Contact information
Practice address
4100 S DOUGLAS AVE, OKLAHOMA CITY, OK 73109-3210
(405) 636-7480
Mailing address
5400 N INDEPENDENCE AVE, 100, OKLAHOMA CITY, OK 73112-5300
Taxonomy
Speciality
Code
Description
License number
State
261QR0206X
Mammography Clinic/Center
Primary
2289
OK
Other
Enumeration date
07/31/2006
Last updated
05/11/2010
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