Organization
SOONER DIAGNOSTIC & NEURO TESTING
Active
Organization
SOONER DIAGNOSTIC & NEURO TESTING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TODD BILLINGSLEY (MANAGEMENT)
(918) 994-4208
Entity
Organization
Contact information
Practice address
3081 W ALBANY ST, SUITE 111, BROKEN ARROW, OK 74012-1147
(918) 994-4208
(918) 994-4209
Mailing address
3081 W ALBANY ST, SUITE 111, BROKEN ARROW, OK 74012-1147
(918) 994-4208
(918) 994-4209
Taxonomy
Speciality
Code
Description
License number
State
204R00000X
Electrodiagnostic Medicine Physician
Primary
—
—
Other
Enumeration date
12/06/2011
Last updated
12/06/2011
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