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Organization

MCALESTER IMAGING ASSOCIATES LLC

Active
Other names
McAlester Diagnostic Imaging
Organization subpart
No

Provider details

NPI number
Authorized official
RANDY WAYNE WICKERSHAM (VP OF OPERATIONS)
(405) 418-2200
Entity
Organization

Contact information

Practice address
10 S 3RD ST, SUITE 100, MCALESTER, OK 74501-5319
(918) 426-5656
(918) 426-5757
Mailing address
10 S 3RD ST, SUITE 100, MCALESTER, OK 74501-5319
(918) 426-5656
(918) 426-5757

Taxonomy

Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
Primary
OK

Other

Enumeration date
07/02/2006
Last updated
08/22/2020
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