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Organization

GENESISCARE LANDMARK IMAGING PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JEFFREY TRIPLETTE MD (PRESIDENT)
(239) 931-7212
Entity
Organization

Contact information

Practice address
3300 CHANDLER RD STE 106, MUSKOGEE, OK 74403-4909
(918) 686-7382
(918) 686-0554
Mailing address
2270 COLONIAL BLVD, FORT MYERS, FL 33907-1412
(239) 931-7342
(239) 931-7385

Taxonomy

Speciality
Code
Description
License number
State
293D00000X
Physiological Laboratory
Primary

Other

Enumeration date
03/01/2021
Last updated
03/15/2021
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