Organization
OKLAHOMA CARDIOVASCULAR ASSOCIATES, PC
Active
Organization
OKLAHOMA CARDIOVASCULAR ASSOCIATES, PC
Active
Other names
Oklahoma Imaging Center
Organization subpart
No
Provider details
NPI number
Authorized official
MARK KLAKULAK (CFO)
(405) 608-3780
Entity
Organization
Contact information
Practice address
4050 W MEMORIAL RD, THIRD FLOOR, OKLAHOMA CITY, OK 73120-8382
(405) 608-3800
(405) 608-3838
Mailing address
PO BOX 1996, OKLAHOMA CITY, OK 73101-1996
(405) 608-3800
(405) 608-3838
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
Other
Enumeration date
09/02/2005
Last updated
08/22/2020
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