Whalio Doctors

NPI 1326484163

Charles Johnson, RPA

Practitioner Radiology Practitioner Assistant Tulsa, OK

Practice location

Address
4500 S Garnett Rd, Tulsa, OK 74146-5229
Phone
(918) 664-9892
Mailing address
5739 E 65th St, Tulsa, OK 74136-2721

Registered specialties

Radiology Practitioner Assistant Primary
Technologists, Technicians & Other Technical Service Providers Taxonomy 243U00000X Licence 13OK1467 (OK)

Registry record

NPI
1326484163
Entity type
Individual
Sex (as registered)
Male
NPI issued
20 May 2013
Record last updated
20 May 2013

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.