Shawnee Mri Associates, L.l.c.

NPI #1346285483 in Shawnee, Oklahoma

Provider Information

NPI Number
1346285483
Entity Type
Organization
Organization Name
Shawnee Mri Associates, L.l.c.
Primary Specialty
Clinic/Center - Magnetic Resonance Imaging (MRI)
Enumeration Date
Jun 20, 2006
Last Updated
Aug 22, 2020

Practice Location

Address
3700 N KICKAPOO AVE
Address 2
SUITE 116
ZIP Code
74804-1707
Phone
(405) 275-6747

Authorized Official

Name
RANDALL WAYNE WICKERSHAM
Title
VP OF OPERATIONS
Phone
(405) 418-2200

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Magnetic Resonance Imaging (MRI)Magnetic Resonance Imaging (MRI)

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