| NPI | 1629020995 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DOUGLAS P BEALL Chief Of Services 405-601-2325 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085R0204X Radiology Vascular & Interventional Radiology |
| Enumeration Date | 2006-05-16 |
| Last Update Date | 2025-07-28 |