Organization
SOUTHWESTERN RADIOLOGY AFFILIATES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAN SLIPKOVICH (CEO)
(580) 531-4704
Entity
Organization
Contact information
Practice address
5602 SW LEE BLVD, LAWTON, OK 73505-9635
(580) 531-4704
Mailing address
5602 SW LEE BLVD, LAWTON, OK 73505-9635
(580) 531-4704
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Enumeration date
08/17/2010
Last updated
08/17/2010
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