PERIGON PROSTATE CENTER LLC is a radiology and mobile clinic center in Oklahoma City, OK. PERIGON PROSTATE CENTER LLC NPI is 1184341489. The provider is registered as an organization entity type.
The provider's business location address is:
100 SE 59TH ST OKLAHOMA CITY, OK ZIP 73129-616 Phone: (408) 418-2200 Fax: (405) 418-2901
The provider's authorized official is Derek Prentice . The authorized official title is Owner and has the following contact phone number (405) 650-4786.
The enumeration date for this NPI number is 10/26/2022 and was last updated on 10/26/2022.
The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:
NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.
This page was last updated on: 11/21/2025
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