Organization
GENESISCARE LANDMARK IMAGING PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY T. TRIPLETT MD (PRESIDENT)
(405) 272-5090
Entity
Organization
Contact information
Practice address
111 HARRISON AVE STE 104, OKLAHOMA CITY, OK 73104-1819
(405) 272-5090
(405) 272-5091
Mailing address
2160 COLONIAL BLVD, FORT MYERS, FL 33907-1410
(239) 931-7342
(239) 931-7385
Taxonomy
Speciality
Code
Description
License number
State
293D00000X
Physiological Laboratory
Primary
—
—
Other
Enumeration date
08/28/2020
Last updated
03/01/2021
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