Organization
CT CENTER OF NORMAN LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEBBIE JOHNSTON (OPERATIONS MANAGER)
(405) 321-8125
Entity
Organization
Contact information
Practice address
1125 N PORTER AVE, SUITE 104, NORMAN, OK 73071-6443
(405) 895-7226
Mailing address
PO BOX 1369, NORMAN, OK 73070-1369
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100748930A
—
OK
Enumeration date
11/04/2005
Last updated
04/28/2008
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