RANDY SCOTT JORDAN

TULSA, OK
NPI1821355694
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy243U00000X Radiology Practitioner Assistant
(Licence: OK  279995)
Enumeration Date2012-04-18
Last Update Date2012-04-18
Business Address
MR. RANDY SCOTT JORDAN RPA
4500 S GARNETT RD
TULSA, OK 74146-5229
Phone number: 918-728-6194
Mailing Address
MR. RANDY SCOTT JORDAN RPA
3227 S 16TH ST
BROKEN ARROW, OK 74012-1801
Phone number: 918-728-6194
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