Organization
BREAST MRI OF OKLAHOMA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLES BREKKE M.D. (MANAGER)
(405) 632-2323
Entity
Organization
Contact information
Practice address
4300 MCAULEY BLVD, OKLAHOMA CITY, OK 73120-8302
(405) 749-7077
(405) 631-9315
Mailing address
PO BOX 108809, OKLAHOMA CITY, OK 73101-8809
(405) 632-2323
(405) 631-9315
Taxonomy
Speciality
Code
Description
License number
State
261QR0206X
Mammography Clinic/Center
Primary
—
OK
Other
Enumeration date
10/03/2006
Last updated
05/01/2012
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