CARDIOVASCULAR PERFUSION ALLIANCE LLC NPI 1336268770

NPI Information

CARDIOVASCULAR PERFUSION ALLIANCE LLC is a specialist in Oklahoma City, OK. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. CARDIOVASCULAR PERFUSION ALLIANCE LLC NPI is 1336268770. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

3601 N MAY AVE
STE C
OKLAHOMA CITY, OK
ZIP 73112-641
Phone: (405) 604-5613
Fax: (405) 601-3750

The provider's authorized official is Charles Dewayne Poor .
The authorized official title is President and has the following contact phone number (405) 604-5613.

The CLIA number assigned to this NPI record is 37D1012806 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/28/2007 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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