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Organization

RADIOLOGY ASSOCIATES OF ENID P C

Active
Organization subpart
No

Provider details

NPI number
Authorized official
PHILIP MALONE (ADMINISTRATIVE MANAGER)
(405) 321-8125
Entity
Organization

Contact information

Practice address
600 S MONROE ST, ENID, OK 73701-7211
(405) 321-8125
Mailing address
720 W MAINE AVE, SUITE C, ENID, OK 73701-5414

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
CT1104
RR MEDICARE
OK
Enumeration date
11/28/2005
Last updated
04/16/2008
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