NPI 1821355694

Randy Scott Jordan, RPA

Practitioner Radiology Practitioner Assistant Tulsa, OK

Practice location

Address: 4500 S Garnett Rd, Tulsa, OK 74146-5229
Phone: (918) 728-6194
Fax: (918) 664-0267
Mailing address: 3227 S 16th St, Broken Arrow, OK 74012-1801

Registered specialties

Radiology Practitioner Assistant Primary

Technologists, Technicians & Other Technical Service Providers Taxonomy 243U00000X Licence 279995 (OK)

Other Radiology Practitioner Assistant providers in Oklahoma →

Registry record

NPI: 1821355694
Entity type: Individual
Sex (as registered): Male
NPI issued: 18 Apr 2012
Record last updated: 18 Apr 2012

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.