Organization
PCH RADIOLOGY PC
Active
Organization
PCH RADIOLOGY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICHARD SCOTT ROSENBLUM DO (OWNER)
(321) 698-3724
Entity
Organization
Contact information
Practice address
1900 N 14TH ST, DEPT OF RADIOLOGY, PONCA CITY, OK 74601-2035
(580) 765-0575
(580) 765-0584
Mailing address
200 HANNA DR, PONCA CITY, OK 74604-5764
(321) 698-3724
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
APPLYING
BCBSOK
OK
05
—
APPLYING
—
OK
Enumeration date
11/26/2007
Last updated
01/09/2008
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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