Unknown Individual – Neurological Surgery Physician, NPI 1669585568
Neurological Surgery Physician
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Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
Advantage Diagnostic MRI, 2601, North Aspen Avenue, Broken Arrow, Tulsa, Oklahoma, 74012, United States
STE 1011
BROKEN ARROW, OK 740121375
Phone: (918) 940-0933
Type: Mailing
Franco's Pizza, 527, West Washington Street, Broken Arrow, Tulsa, Oklahoma, 74012, United States
BROKEN ARROW, OK 740126452
Phone: (918) 940-0933
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
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No Medicare enrollment or revalidation data available for this provider in our database.
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Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 74012)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| General Surgery, Thoracic Surgery, Vascular Surgery | MO | |
| Physical Therapist In Private Practice | OK | |
| G A S T R O E N T E R O L O G Y | OK | |
| Family Practice, Emergency Medicine | OK | |
| Family Practice | OK | |
| Infectious Disease | OK | |
| Otolaryngology, Allergy/Immunology | OK | |
| Orthopedic Surgery | AR | |
| Family Practice, Emergency Medicine | OK | |
| Psychiatry, Geriatric Psychiatry | OK |
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