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Muskogee Radiological Group INC

Radiology, Diagnostic Radiology in Tulsa, OK. Organization (NPI-2).

NPI number1104882265
StatusActive
Last updated in NPPESNov 8, 2007

Details

NPI
1104882265
Entity type
Organization (NPI-2)
Legal business name
Muskogee Radiological Group INC
Organization subpart
No
Enumeration date
Apr 25, 2006
Last updated
Nov 8, 2007

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
2085R0202X Radiology, Diagnostic Radiology––Yes

Practice location

4500 S Garnett Rd
Ste 919
Tulsa, OK 74146-5229

Phone 918-728-6145

Mailing address

4500 S Garnett Rd
Ste 919
Tulsa, OK 74146-5229

Phone 918-728-6145

Authorized official

Jim Bolene
President
9187286145

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