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Organization

NORMAN OPEN MRI, LLC

Active
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 1608, NORMAN, OK 73070-1608
(405) 928-2530
(405) 928-2950

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200000060A
OK
Enumeration date
11/04/2005
Last updated
02/01/2012
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