Organization
BREAST IMAGING OF OKLAHOMA, LLC
Active
Other names
Breast Imaging of Oklahoma
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. VICKI LYNN WYNN (CONTROLLER)
(405) 705-2712
Entity
Organization
Contact information
Practice address
2601 KELLEY POINTE PKWY STE 101, EDMOND, OK 73013-2996
(405) 705-2712
(405) 844-2610
Mailing address
2601 KELLEY POINTE PKWY STE 101, EDMOND, OK 73013-2996
(405) 705-2712
(405) 844-2610
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
OK
Other
Enumeration date
11/09/2006
Last updated
08/22/2020
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