NPI 1376735415

Samuel Grady Lewis, RTRRPARACBRPA

Practitioner Radiography Radiologic Technologist Ponca City, OK

Practice location

Address: 308 Fairview Ave, Ponca City, OK 74601-2001
Phone: (580) 765-9588
Fax: (580) 762-1367

Registered specialties

Radiography Radiologic Technologist Primary

Technologists, Technicians & Other Technical Service Providers Taxonomy 2471C3402X

Other Radiologic Technologist providers in Oklahoma →

Registry record

NPI: 1376735415
Entity type: Individual
Sex (as registered): Male
NPI issued: 13 Aug 2007
Record last updated: 13 Aug 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.