Providence Radiology

NPI 1093771321 - Radiology - 2085R0202X

NPI Details
NPI 1093771321
Enumeration Date 04/25/2006
Last Updated 10/15/2007
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name JIM JIM
Position PRESIDENT
Phone (918) 728-6145
Fax
Practice Location
4500 S GARNETT RD
STE 919
TULSA OK, 74146-5229, US
Phone (918) 728-6145
Fax
Business Location
4500 S GARNETT RD
STE 919
TULSA OK, 74146-5229, US
Phone (918) 728-6145
Fax
Toxanomy
Taxonomy Code 2085R0202X
License State
License Number
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According to our database, Providence Radiology NPI is 1093771321, taxonomy code is 2085R0202X Providence Radiology physically located at 4500 S Garnett Rd, Tulsa OK, 74146-5229. NPI Number 1033115704 has the healthcare provider type.

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1093771321 NPI number is provided on an as is basis without warranty of any kind. 1093771321 is maintained by the National Plan & Provider Enumeration System. The contents of Providence Radiology are for informational purposes only.