Organization
MUSCULOSKELETAL IMAGING AND INTERVENTIONAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DOUGLAS P BEALL MD (CHIEF OF SERVICES)
(405) 601-2325
Entity
Organization
Contact information
Practice address
1023 WATERWOOD PKWY, EDMOND, OK 73034-5324
(405) 601-2325
(405) 497-6074
Mailing address
PO BOX 1390, OKLAHOMA CITY, OK 73101-1390
(405) 601-2325
(405) 497-6074
Taxonomy
Speciality
Code
Description
License number
State
2085R0204X
Vascular & Interventional Radiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200069440B
—
OK
Enumeration date
05/16/2006
Last updated
07/28/2025
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