Organization
X-RAY SPECIALISTS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WILLIAM K. SMITH M.D. (PRESIDENT)
(918) 542-4495
Entity
Organization
Contact information
Practice address
200 2ND AVE SW, MIAMI, OK 74354-6830
(918) 542-4495
(918) 542-4497
Mailing address
PO BOX 1547, SEDALIA, MO 65302-1547
(660) 826-5960
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
100088750B
MEDICAID KS
KS
05
—
100731300A
—
OK
01
—
CS3464
RR MEDICARE
OK
Enumeration date
05/25/2006
Last updated
06/12/2009
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