Organization · Type 2 NPI

Diagnostic Orthopedic Group LLC

Diagnostic Radiology Physician · Edmond, OK

NPI number 1063169514 Active

Practice location

116 N Saints Blvd
Edmond, OK 73034

Fax (405) 768-1601

Mailing address

PO Box 2378
Edmond, OK 73083-2378

Specialties and licenses

TaxonomyCodeLicense
Diagnostic Radiology Physician Primary 2085R0202XNone listed

Diagnostic Radiology Physician: A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

5 other providers at this address

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About NPI 1063169514

Diagnostic Orthopedic Group LLC's National Provider Identifier is 1063169514, issued on Mar 4, 2022. The primary taxonomy on file is Diagnostic Radiology Physician (2085R0202X), and the practice location is in Edmond, OK. The record was last updated on Mar 20, 2026.