Healthcare Provider Details

I. General information

NPI: 1093909251
Provider Name (Legal Business Name): REGIONAL RADIOLOGY INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/30/2007
Last Update Date: 08/30/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

413 W FOREST LN
HOBART OK
73651-1645
US

IV. Provider business mailing address

413 W FOREST LN
HOBART OK
73651-1645
US

V. Phone/Fax

Practice location:
  • Phone: 580-726-3308
  • Fax: 580-726-3637
Mailing address:
  • Phone: 580-726-3308
  • Fax: 580-726-3637

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License Number
License Number State

VIII. Authorized Official

Name: ROBERT METCALF
Title or Position: DOCTOR
Credential: MD
Phone: 580-726-3308