Organization
EE RAD OK, LLC
Active
Organization
EE RAD OK, LLC
Active
Parent organization
EAGLEEYE RADIOLOGY, INC
Organization subpart
Yes
Provider details
NPI number
Legal business name
EAGLEEYE RADIOLOGY, INC
Authorized official
LORI SITTNER (OFFICE MANAGER)
(703) 652-1200
Entity
Organization
Contact information
Practice address
1900 N. 4TH STREET, PONCA CITY, OK 74601
(703) 652-1200
(703) 880-7401
Mailing address
12100 SUNRISE VALLEY DR, SUITE 290-B, RESTON, VA 20191-3427
(703) 652-1200
(703) 880-7401
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Enumeration date
02/19/2010
Last updated
02/19/2010
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