Organization
OPEN-SIDED MRI OF STILLWATER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SETH CARNEY (VP OF OPERATIONS)
(918) 496-5264
Entity
Organization
Contact information
Practice address
1909 W 6TH AVE, SUITE A, STILLWATER, OK 74074-4204
(405) 743-0845
(405) 743-0846
Mailing address
PO BOX 100, DEPT. 402, BIXBY, OK 74008-0100
(918) 293-1700
Taxonomy
Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
Primary
—
—
Other
Enumeration date
05/23/2006
Last updated
11/15/2013
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