Organization
PK IMAGING CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PHILLIP LEE KIZZIA (OWNER/ADMINISTRATOR)
(918) 683-9729
Entity
Organization
Contact information
Practice address
347 S 37TH ST, MUSKOGEE, OK 74401-4906
(918) 683-9729
(918) 683-1012
Mailing address
347 S 37TH ST, MUSKOGEE, OK 74401-4906
(918) 683-9729
(918) 683-1012
Taxonomy
Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
Primary
—
OK
Other
Enumeration date
11/05/2009
Last updated
11/05/2009
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