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Organization

A I ADVANCE IMAGING OF TULSA LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
STEVEN T MCCORMACK MD (SOLE MEMBER)
(918) 523-0002
Entity
Organization

Contact information

Practice address
6757 S YALE AVE, TULSA, OK 74136-3302
(918) 523-0002
(918) 523-0030
Mailing address
6757 S YALE AVE, TULSA, OK 74136-3302
(918) 523-0002
(918) 523-0030

Taxonomy

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

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200123150A
OK
Enumeration date
03/04/2007
Last updated
04/20/2016
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