Organization
OKLAHOMA BREAST CARE CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DEBBIE CLARK (EXECUTIVE DIRECTOR)
(405) 755-2273
Entity
Organization
Contact information
Practice address
13509 N MERIDIAN AVE, SUITE 6, OKLAHOMA CITY, OK 73120-8396
(405) 755-2273
(405) 751-3505
Mailing address
13509 N MERIDIAN AVE, SUITE 6, OKLAHOMA CITY, OK 73120-8396
(405) 755-2273
(405) 751-3505
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Enumeration date
05/25/2007
Last updated
08/22/2020
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