Eden Diagnostic Associates

NPI #1376099929 in Tulsa, Oklahoma

Provider Information

NPI Number: 1376099929
Entity Type: Organization
Organization Name: Eden Diagnostic Associates
Primary Specialty: Specialist
Enumeration Date: Sep 1, 2016
Last Updated: Jul 13, 2017

Practice Location

Address: 5906 E 31ST ST
City: Tulsa
State: Oklahoma
ZIP Code: 74135-5110
Phone: (918) 508-7008

Authorized Official

Name: MRS. KIM ANGEL
Title: OFFICE MANAGER
Phone: (918) 508-7008

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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