Organization
POWERS RADIOLOGY, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MATTHEW G. POWERS M.D. (PHYSICIAN)
(918) 748-4378
Entity
Organization
Contact information
Practice address
DEPARTMENT 814, TULSA, OK 74182-0001
(918) 748-4378
(918) 743-6542
Mailing address
DEPARTMENT 814, TULSA, OK 74182-0001
(918) 748-4378
(918) 743-6542
Taxonomy
Speciality
Code
Description
License number
State
2085N0700X
Neuroradiology Physician
—
—
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
2085R0204X
Vascular & Interventional Radiology Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100744210A
—
OK
Enumeration date
05/09/2006
Last updated
04/29/2014
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