Ponca City Open Mri, LLC
NPI #1912983719 in Ponca City, Oklahoma
Provider Information
- NPI Number
- 1912983719
- Entity Type
- Organization
- Organization Name
- Ponca City Open Mri, LLC
- Primary Specialty
- Radiologic Technologist - Magnetic Resonance Imaging
- Enumeration Date
- Dec 22, 2005
- Last Updated
- Feb 1, 2011
Practice Location
- Address
- 2112 N 14TH ST
- City
- Ponca City
- State
- Oklahoma
- ZIP Code
- 74601-1829
- Phone
- (580) 762-6740
Authorized Official
- Name
- MR. CLINTON LOCKE
- Title
- EXECUTIVE DIRECTOR
- Phone
- (580) 762-6740
Specialties & Taxonomy Codes
| Specialty |
|---|
| Radiologic Technologist - Magnetic Resonance Imaging — Magnetic Resonance Imaging |
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