Organization
ARDMORE PET ASSOCIATES
Active
Other names
Ardmore Diagnostic Imaging
Organization subpart
No
Provider details
NPI number
Authorized official
MS. STACY JO ROBERTS (DIRECTOR)
(580) 221-0894
Entity
Organization
Contact information
Practice address
908 N ROCKFORD RD, SUITE C, ARDMORE, OK 73401-2540
(580) 223-7226
(580) 223-7228
Mailing address
720 N COMMERCE ST, PMB 655, ARDMORE, OK 73401-3915
(580) 223-7226
(580) 223-7228
Taxonomy
Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
Primary
—
—
Other
Enumeration date
10/11/2009
Last updated
10/11/2009
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