Individual
MS. ERIKA N ALFARO MARSHALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RADIOLOGY TECHNICIAN
Contact information
Practice address
1334 N LANSING, TULSA, OK 74106
(918) 587-2171
(918) 295-6149
Mailing address
1334 N LANSING, TULSA, OK 74106
(918) 587-2171
(918) 295-6149
Taxonomy
Speciality
Code
Description
License number
State
2085B0100X
Body Imaging Physician
Primary
389242
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
37-1803
MEDICARE
OK
01
—
37-1832
MEDICARE
OK
01
—
37-1834
MEDICARE
OK
01
—
389242
LICENSE NUMBER
OK
Enumeration date
12/05/2006
Last updated
12/27/2007
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