Organization
DIAGNOSTIC IMAGING ASSOCIATES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DONALD VON BORSTEL MD (RADIOLOGIST)
(918) 935-3550
Entity
Organization
Contact information
Practice address
744 W 9TH ST, TULSA, OK 74127-9020
(918) 935-3550
(918) 935-3581
Mailing address
4500 S GARNETT RD STE 112, TULSA, OK 74146-5201
(918) 935-3550
(918) 935-3581
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100729830A
—
OK
Enumeration date
11/03/2005
Last updated
05/18/2021
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