Dynamic Medical Solutions | |
3500 S Boulevard Bldg B Suite 18b Edmond OK 73013-5486 | |
(405) 570-9962 | |
Not Available |
Full Name | Dynamic Medical Solutions |
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Speciality | Radiology |
Location | 3500 S Boulevard Bldg B, Edmond, Oklahoma |
Authorized Official Name and Position | Alex Theodoridis (PRESIDENT) |
Authorized Official Contact | 4055709962 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Dynamic Medical Solutions 3500 S Boulevard Bldg B Suite 18b Edmond OK 73013-5486 Ph: (405) 570-9962 | Dynamic Medical Solutions 3500 S Boulevard Bldg B Suite 18b Edmond OK 73013-5486 Ph: (405) 570-9962 |
NPI Number | 1922356310 |
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Provider Enumeration Date | 08/16/2012 |
Last Update Date | 08/15/2017 |
Medicare PECOS PAC ID | 5395996284 |
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Medicare Enrollment ID | O20121128000057 |
Identifier | Type | State | Issuer |
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1922356310 | NPI | - | NPPES |
Provider Name | James R Webb |
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Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1487645800 PECOS PAC ID: 6608867247 Enrollment ID: I20040521000338 |
Provider Name | Richard T Knepper |
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Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1578529137 PECOS PAC ID: 4486678448 Enrollment ID: I20100617000667 |
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