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
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, MobileRadiology, Mobile

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