Organization
HEFNER CT ASSOCIATES
Active
Other names
Hefner Diagnostic Imaging Center
Organization subpart
No
Provider details
NPI number
Authorized official
DEREK M PRENTICE (MANAGING MEMBER)
(405) 418-2200
Entity
Organization
Contact information
Practice address
3400 WEST HEFNER ROAD, OKLAHOMA CITY, OK 73120
(405) 418-0900
(405) 418-0901
Mailing address
11101 HEFNER POINTE DR, 222, OKLAHOMA CITY, OK 73120-5054
(405) 418-2900
(405) 418-2907
Taxonomy
Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
Primary
—
—
Other
Enumeration date
02/19/2008
Last updated
02/19/2008
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