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Individual

MR. MICHAEL K COLE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
4111 S DARLINGTON AVE, STE 700, TULSA, OK 74135-6348
(918) 743-8943
(918) 388-1242
Mailing address
PO BOX 4939, TULSA, OK 74159-0939
(918) 743-8943
(918) 388-1242

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
3938
OK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100160290A
OK
01
248224703
MEDICARE
OK
01
300133125
RAILROAD MEDICARE
OK
01
300133517
RAILROAD MEDICARE
OK
Enumeration date
11/21/2005
Last updated
03/12/2008
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