Organization
SOUTH CENTRAL OKLAHOMA RADIOLOGY PLLC
Active
Organization
SOUTH CENTRAL OKLAHOMA RADIOLOGY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JULIE GARCIA (BILLING MANAGER)
(479) 452-9416
Entity
Organization
Contact information
Practice address
430 N MONTE VISTA ST, ADA, OK 74820-4610
(479) 452-9419
Mailing address
PO BOX 2145, FORT SMITH, AR 72902-2145
(479) 452-9419
(479) 242-1990
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Enumeration date
07/29/2021
Last updated
11/22/2021
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