Organization
BETHANY PERFUSION, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL J. MASSONI B.S., C.C.P., L.P. (PRESIDENT)
(405) 787-2677
Entity
Organization
Contact information
Practice address
3612 N FLAMINGO AVE, BETHANY, OK 73008-3664
(405) 787-2677
(405) 787-2677
Mailing address
3612 N FLAMINGO AVE, BETHANY, OK 73008-3664
(405) 787-2677
(405) 787-2677
Taxonomy
Speciality
Code
Description
License number
State
246ZS0410X
Surgical Technologist
Primary
LP22
OK
Other
Enumeration date
11/07/2006
Last updated
08/22/2020
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