Organization
MCCURTAIN MEMORIAL MEDICAL MANAGEMENT, INC.
Active
Parent organization
MCCURTAIN MEMORIAL MEDICAL MANAGEMENT, INC.
Other names
McCurtain Memorial Hospital Radiology Phy
Organization subpart
Yes
Provider details
NPI number
Legal business name
MCCURTAIN MEMORIAL MEDICAL MANAGEMENT, INC.
Authorized official
MR. RAY B WHITMORE JR. (CFO)
(580) 208-3104
Entity
Organization
Contact information
Practice address
1301 E LINCOLN ROAD, IDABEL, OK 74745-7300
(580) 208-3100
(580) 208-3199
Mailing address
1301 E LINCOLN ROAD, IDABEL, OK 74745-7300
(580) 208-3100
(580) 208-3199
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
2085U0001X
Diagnostic Ultrasound Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100700920B
—
OK
Enumeration date
05/09/2007
Last updated
06/16/2008
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