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Individual

DR. JOHN SCOTT DENNIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
4500 S GARNETT RD, STE 300, TULSA, OK 74146-5229
(918) 728-6194
(918) 664-0267
Mailing address
4500 S GARNETT RD, STE 300, TULSA, OK 74146-5238
(918) 728-6194
(855) 917-2040

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
2452
OK
2085R0204X
Vascular & Interventional Radiology Physician
Primary
2452
OK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100062800A
OK
Enumeration date
11/04/2005
Last updated
01/28/2020
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