Individual
DR. MATTHEW G. POWERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1923 S UTICA AVE, SJMC RADIOLOGY, TULSA, OK 74104-6520
(918) 744-2171
(918) 744-3137
Mailing address
DEPARTMENT 814, TULSA, OK 74182-0001
(918) 748-4378
(918) 743-6542
Taxonomy
Speciality
Code
Description
License number
State
2085N0700X
Neuroradiology Physician
12621
OK
2085R0202X
Diagnostic Radiology Physician
Primary
12621
OK
2085R0204X
Vascular & Interventional Radiology Physician
12621
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100155150
—
OK
Enumeration date
05/16/2006
Last updated
08/24/2011
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