Bethany Perfusion, PC

NPI #1093884769 in Bethany, Oklahoma

Provider Information

NPI Number: 1093884769
Entity Type: Organization
Organization Name: Bethany Perfusion, PC
Primary Specialty: Specialist/Technologist, Other - Surgical Technologist
Enumeration Date: Nov 7, 2006
Last Updated: Aug 22, 2020

Practice Location

Address: 3612 N FLAMINGO AVE
City: Bethany
State: Oklahoma
ZIP Code: 73008-3664
Phone: (405) 787-2677

Authorized Official

Name: MR. MICHAEL J. MASSONI, B.S., C.C.P., L.P.
Title: PRESIDENT
Phone: (405) 787-2677

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist/Technologist, Other - Surgical Technologist — Surgical Technologist	246ZS0410X	Primary

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