Provider Demographics
NPI:1093909251
Name:REGIONAL RADIOLOGY INC
Entity Type:Organization
Organization Name:REGIONAL RADIOLOGY INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR
Authorized Official - Prefix:
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:
Authorized Official - Last Name:METCALF
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:580-726-3308
Mailing Address - Street 1:413 W FOREST LN
Mailing Address - Street 2:
Mailing Address - City:HOBART
Mailing Address - State:OK
Mailing Address - Zip Code:73651-1645
Mailing Address - Country:US
Mailing Address - Phone:580-726-3308
Mailing Address - Fax:580-726-3637
Practice Address - Street 1:413 W FOREST LN
Practice Address - Street 2:
Practice Address - City:HOBART
Practice Address - State:OK
Practice Address - Zip Code:73651-1645
Practice Address - Country:US
Practice Address - Phone:580-726-3308
Practice Address - Fax:580-726-3637
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-30
Last Update Date:2007-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic RadiologyGroup - Single Specialty