Individual
BART MICHAEL-LANE ROWLETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2825 PARKLAWN DR, RADIOLOGY DEPT., MIDWEST CITY, OK 73110-4201
(405) 610-8938
Mailing address
PO BOX 720778, NORMAN, OK 73070-4602
(405) 535-7669
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
22906
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
22906
STATE LICENSE
OK
05
—
PENDING
—
OK
Enumeration date
03/28/2007
Last updated
09/14/2012
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