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Individual

ALFRED C DEGNER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2825 PARKLAWN DR, RADIOLOGY DEPT., MIDWEST CITY, OK 73110-4201
(405) 610-8398
Mailing address
PO BOX 720778, NORMAN, OK 73070-4602
(405) 535-7669

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
15756
OK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100193210A
OK
Enumeration date
03/28/2006
Last updated
11/23/2012
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