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Contact Information

SAMUEL G LEWIS, RTR,RPA,RA,CBRPA
308 FAIRVIEW AVE
PONCA CITY, OK74601-2001
 Phone: 580-765-9588
 Fax: 580-762-1367
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Radiography Radiologic Technologist

2471C3402X
Indicates primary specialty

NPI Profile & details for SAMUEL G LEWIS · (Male)

NPI Number 1376735415
Status Active
Credentials RTR,RPA,RA,CBRPA
Entity Individual
Enumeration date 08/13/2007
Last updated 08/13/2007 - About 19 years ago
Sole proprietor 1 No
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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