Individual
DR. NATHAN EDWARD MYATT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
940 NE 13TH ST, 4G4200, OKLAHOMA CITY, OK 73104-5008
(405) 271-5125
Mailing address
P.O. BOX 2690, GARRISON TOWER, SUITE 4G4250 DEPARTMENT OF RADIOLOGICAL, OKLAHOMA CITY, OK 73126
(405) 271-5125
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
4936
OK
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/26/2009
Last updated
07/01/2010
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