Organization
A I ADVANCE IMAGING OF TULSA LLC
Active
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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