Individual
JONATHAN ROSS VANHOOSER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
600 S MONROE ST, ENID, OK 73701-7211
(580) 233-2300
(580) 548-1497
Mailing address
5300 N INDEPENDENCE AVE, 280, OKLAHOMA CITY, OK 73112-5556
(580) 233-2300
(580) 548-1497
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
16487
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100125450A
—
OK
01
—
P00328377
RR MEDICARE
OK
Enumeration date
04/26/2006
Last updated
04/05/2017
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