Unknown Individual – Diagnostic Radiology Physician, NPI 1285614859
Diagnostic Radiology Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
4500, South Garnett Road East, Tulsa, Oklahoma, 74146, United States
STE 300
TULSA, OK 741465229
Phone: (918) 664-9892
Fax: (918) 664-2521
Type: Mailing
Sparks Regional Medical Center, 1001, Towson Avenue, Mill Creek, Fort Smith, Sebastian County, Arkansas, 72903, United States
FORT SMITH, AR 729014921
Phone: (479) 441-4000
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 74146)
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