MR. Samuel Grady Lewis, RTR,RPA,RA,CBRPA
NPI #1376735415 in Ponca City, Oklahoma
Provider Information
- NPI Number
- 1376735415
- Entity Type
- Individual
- Name
- MR. Samuel Grady Lewis, RTR,RPA,RA,CBRPA
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Radiologic Technologist - Radiography
- Credential
- RTR,RPA,RA,CBRPA
- Enumeration Date
- Aug 13, 2007
- Last Updated
- Aug 13, 2007
Practice Location
- Address
- 308 FAIRVIEW AVE
- City
- Ponca City
- State
- Oklahoma
- ZIP Code
- 74601-2001
- Phone
- (580) 765-9588
Specialties & Taxonomy Codes
| Specialty |
|---|
| Radiologic Technologist - Radiography — Radiography |
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