# I V LEAGUE LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** INNOVATIVE VASCULAR ACCESS
- **Organization subpart:** No

## Provider details

- **NPI number:** 1962378281
- **Authorized official:** RANDY PATTERSON MD (OWBER)
- **Authorized official phone:** (405) 473-0210

## Contact information

- **Practice address:** 5721 NW 132ND ST, OKLAHOMA CITY, OK 73142-4437
- **Practice address phone:** (405) 473-0210
- **Mailing address:** 5721 NW 132ND ST, OKLAHOMA CITY, OK 73142-4437

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2086S0129X | Vascular Surgery Physician | — | NULL | Yes |
| 2086S0129X | Vascular Surgery Physician | — | — | Yes |

## Other

- **Enumeration date:** 10/14/2025
- **Last updated:** 10/14/2025