Roger L Radell O D Incorporated P C

NPI #1275753550 in Prague, Oklahoma

Provider Information

NPI Number: 1275753550
Entity Type: Organization
Organization Name: Roger L Radell O D Incorporated P C
Primary Specialty: Optometrist
Enumeration Date: Apr 27, 2007
Last Updated: Apr 1, 2016

Practice Location

Address: 915 9TH STREET
City: Prague
State: Oklahoma
ZIP Code: 74864-0507
Phone: (405) 567-2261

Authorized Official

Name: ROGER LEE RADELL, OD
Title: PRESIDENT
Phone: (405) 567-2261

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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