Whalio Doctors

NPI 1992096986

Richard C. Booth, LLP

Practitioner Perfusionist Oklahoma City, OK

Practice location

Address
3601 N May Ave Suite C, Oklahoma City, OK 73112-6641
Phone
(405) 604-5613
Fax
(405) 601-3750
Mailing address
PO Box 12815, Oklahoma City, OK 73157-2815

Registered specialties

Perfusionist Primary
Technologists, Technicians & Other Technical Service Providers Taxonomy 242T00000X Licence 57 (OK)

Registry record

NPI
1992096986
Entity type
Individual
Sex (as registered)
Male
NPI issued
25 Apr 2011
Record last updated
25 Apr 2011

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.