person
Mr. Samuel Grady Lewis, RTR,RPA,RA,CBRPA
Radiography Radiologic Technologist in Ponca City, Oklahoma
NPI 1376735415

Samuel Grady Lewis is a Radiography Radiologic Technologist based in Ponca City, OK and is specialized in Radiography. Samuel Grady Lewis practices in Ponca City, OK and has the professional credentials of RTR,RPA,RA,CBRPA. The NPI Number for Samuel Grady Lewis is 1376735415 and holds a License No. (Oklahoma).

The current practice location address for Samuel Grady Lewis is 308 Fairview Ave, Ponca City, OK and can be reached out via phone at 580-765-9588 and via fax at 580-762-1367.

Location: 308 Fairview Ave, Ponca City, OK, 74601-2001
person
Provider Profile Details
NPI Number
1376735415
Provider Name
Samuel Grady Lewis
Credential
RTR,RPA,RA,CBRPA
Provider Entity Type
Individual
Gender
Male
Address
308 Fairview Ave, Ponca City, OK, 74601-2001
Phone Number
580-765-9588
Fax Number
580-762-1367
Provider Enumeration Date
08/13/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
308 Fairview Ave
City
State
Zip
74601-2001
Phone Number
580-765-9588
Fax Number
580-762-1367
person
Provider Business Mailing Address Details
Address
308 Fairview Ave
City
State
Zip
74601-2001
Phone Number
580-765-9588
Fax Number
580-762-1367
person
Provider's Taxonomy Details 1
Type
Technologists, Technicians & Other Technical Service Providers
Classification
Radiologic Technologist
Speciality
Radiography
Taxonomy
License No.
()
Definition
Definition to come...
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