Organization
MERCY HOSPITAL ADA, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARCUS BRUNER (EXECUTIVE DIRECTOR FINANCE)
(580) 220-6239
Entity
Organization
Contact information
Practice address
430 N MONTE VISTA ST, ADA, OK 74820-4610
(970) 945-6535
Mailing address
430 N MONTE VISTA ST, ADA, OK 74820-4610
(970) 945-6535
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Enumeration date
06/05/2013
Last updated
06/23/2024
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