Organization
MIDWEST RADIOLOGY ASSOCIATES PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALFRED C DEGNER MD (VICE PRESIDENT)
(405) 535-7669
Entity
Organization
Contact information
Practice address
2825 PARKLAWN DR, RADIOLOGY DEPARTMENT, MIDWEST CITY, OK 73110-4201
(405) 610-8398
Mailing address
PO BOX 720778, NORMAN, OK 73070-4602
(405) 535-7669
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100735840A
—
OK
Enumeration date
03/24/2006
Last updated
11/30/2012
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