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Organization
I V LEAGUE LLC
Active
Organization
I V LEAGUE LLC
Active
Other names
INNOVATIVE VASCULAR ACCESS
Organization subpart
No
Provider details
NPI number
Authorized official
RANDY PATTERSON MD (OWBER)
(405) 473-0210
Entity
Organization
Contact information
Practice address
5721 NW 132ND ST, OKLAHOMA CITY, OK 73142-4437
(405) 473-0210
Mailing address
5721 NW 132ND ST, OKLAHOMA CITY, OK 73142-4437
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
—
NULL
2086S0129X
Vascular Surgery Physician
Primary
—
—
Other
Enumeration date
10/14/2025
Last updated
10/14/2025
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