Organization
CHISHOLM TRIAL IMAGING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. OSCAR MORALES M.D. (PRESIDENT)
(580) 252-0553
Entity
Organization
Contact information
Practice address
1509 BROOKWOOD AVE, SUITE B, DUNCAN, OK 73533-1316
(580) 252-0553
(580) 252-0504
Mailing address
1509 BROOKWOOD AVE, SUITE B, DUNCAN, OK 73533-1316
(580) 252-0553
(580) 252-0504
Taxonomy
Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
Primary
261QR0200X
OK
Other
Enumeration date
01/11/2007
Last updated
08/22/2020
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