Organization
DYNAMIC MEDICAL SOLUTIONS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ALEX THEODORIDIS (PRESIDENT)
(405) 570-9962
Entity
Organization
Contact information
Practice address
3500 S BOULEVARD BLDG B, SUITE 18B, EDMOND, OK 73013-5486
(405) 570-9962
Mailing address
3500 S BOULEVARD BLDG B, SUITE 18B, EDMOND, OK 73013-5486
(405) 570-9962
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
208D00000X
General Practice Physician
—
—
235Z00000X
Speech-Language Pathologist
—
—
247100000X
Radiologic Technologist
—
—
363A00000X
Physician Assistant
—
—
Other
Enumeration date
08/16/2012
Last updated
08/15/2017
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