Individual
ROBERT MIXON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPA/R.R.A
Contact information
Practice address
1923 S UTICA AVE, TULSA, OK 74104-6520
(918) 744-3131
Mailing address
PO BOX 4939, TULSA, OK 74159-0939
(918) 743-8943
Taxonomy
Speciality
Code
Description
License number
State
243U00000X
Radiology Practitioner Assistant
Primary
5
OK
Other
Enumeration date
01/28/2016
Last updated
01/28/2016
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