Individual
DR. VAN AN LE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4111 S DARLINGTON AVE, STE 700, TULSA, OK 74135-6348
(918) 747-4975
(918) 743-9058
Mailing address
PO BOX 4975, TULSA, OK 74159-0975
(918) 747-4975
(918) 743-9058
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
29063
OK
2085R0204X
Vascular & Interventional Radiology Physician
8783
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200432110A
—
OK
Enumeration date
01/17/2006
Last updated
07/20/2012
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