NPI 1093771321

Providence Radiology

Organisation Diagnostic Radiology Physician Tulsa, OK

Practice location

Address: 4500 S Garnett Rd STE 919, Tulsa, OK 74146-5229
Phone: (918) 728-6145

Authorised official

Name: Jim Bolene
Title: President
Phone: (918) 728-6145

Registered specialties

Diagnostic Radiology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 2085R0202X

Other Radiology providers in Oklahoma →

Registry record

NPI: 1093771321
Entity type: Organization
NPI issued: 25 Apr 2006
Record last updated: 15 Oct 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.