Organization
RADIOLOGICAL SERVICES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL REBURN MD (PRESIDENT)
(918) 664-9892
Entity
Organization
Contact information
Practice address
3500 E FRANK PHILLIPS BLVD, BARTLESVILLE, OK 74006-2411
(918) 333-7200
Mailing address
PO BOX 1748, LOWELL, AR 72745-1748
(855) 896-8451
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100212370A
—
KS
05
—
100729150A
—
OK
Enumeration date
06/08/2006
Last updated
11/12/2018
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