Perigon Prostate Center LLC
NPI #1184341489 in Oklahoma City, Oklahoma
Provider Information
- NPI Number
- 1184341489
- Entity Type
- Organization
- Organization Name
- Perigon Prostate Center LLC
- Primary Specialty
- Clinic/Center - Radiology, Mobile
- Enumeration Date
- Oct 26, 2022
- Last Updated
- Oct 26, 2022
Practice Location
- Address
- 100 SE 59TH ST
- City
- Oklahoma City
- State
- Oklahoma
- ZIP Code
- 73129-3616
- Phone
- (408) 418-2200
Authorized Official
- Name
- DEREK PRENTICE
- Title
- OWNER
- Phone
- (405) 650-4786
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Radiology, Mobile — Radiology, Mobile |
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