Whalio Doctors

NPI 1306203815

Robert Mixon, RPARRA

Practitioner Radiology Practitioner Assistant Tulsa, OK

Practice location

Address
1923 S Utica Ave, Tulsa, OK 74104-6520
Phone
(918) 744-3131
Mailing address
PO Box 4939, Tulsa, OK 74159-0939

Registered specialties

Radiology Practitioner Assistant Primary
Technologists, Technicians & Other Technical Service Providers Taxonomy 243U00000X Licence 5 (OK)

Registry record

NPI
1306203815
Entity type
Individual
Sex (as registered)
Male
NPI issued
28 Jan 2016
Record last updated
28 Jan 2016

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.