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Organization

BREAST CARE SPECIALISTS OF OKLAHOMA, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
GLENNA YOUNG MD (PRESIDENT)
(405) 755-2273
Entity
Organization

Contact information

Practice address
13401 N MACARTHUR BLVD, OKLAHOMA CITY, OK 73142-9109
(405) 755-2273
(405) 751-3505
Mailing address
PO BOX 5460, LONGVIEW, TX 75608-5460
(903) 663-8663
(903) 663-7394

Taxonomy

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

Other

Enumeration date
11/30/2018
Last updated
11/30/2018
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