Organization
OKLAHOMA PROSTATE IMAGING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID JAMES RAUBACH (OFFICER)
(918) 798-9160
Entity
Organization
Contact information
Practice address
8516 S PORTLAND AVENUE, OKLAHOMA CITY, OK 73159
(918) 798-9160
Mailing address
8516 S PORTLAND AVENUE, OKLAHOMA CITY, OK 73159
(918) 798-9160
Taxonomy
Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
Primary
—
—
Other
Enumeration date
08/22/2023
Last updated
08/22/2023
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