Organization
MCALESTER PET ASSOCIATES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DEREK M PRENTICE (MANAGING MEMBER)
(405) 418-2200
Entity
Organization
Contact information
Practice address
10 S 3RD ST, STE 100, MCALESTER, OK 74501-5319
(918) 426-5656
(918) 426-5757
Mailing address
11101 HEFNER POINTE DR, #216, OKLAHOMA CITY, OK 73120-5054
(405) 418-2200
(405) 418-2201
Taxonomy
Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
Primary
—
—
Other
Enumeration date
05/30/2008
Last updated
05/30/2008
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