Bryan Andrew Vandoren in Tulsa - Addiction Medicine
Bryan Andrew Vandoren - NPI 1447298120
Bryan Andrew Vandoren is a Addiction Medicine in Tulsa, Oklahoma. Bryan Andrew Vandoren practices all healthcare services and medical treatments related to Addiction Medicine. The NPI Number for Bryan Andrew Vandoren is 1447298120. The last update date is 2022-05-02.
Bryan Andrew Vandoren's current location address is 9320 S Mingo Rd, Tulsa, Oklahoma. You can contact this provider via phone number 9189019701 and fax number 9187104118. The mailing address for Bryan Andrew Vandoren is 9320 S Mingo Rd, Tulsa, Oklahoma. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Bryan Andrew Vandoren |
|---|---|
| Address | 9320 S Mingo Rd, Tulsa, Oklahoma |
| Phone Number | 9189019701 |
| Fax Number | 9187104118 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1447298120 |
|---|---|
| Provider Enumeration Date | 2006-06-03 |
| Last Updated Date | 2022-05-02 |
Provider Mailing Address Detail
| Address | 9320 S Mingo Rd |
|---|---|
| City | Tulsa |
| State | Oklahoma (OK) |
| Post Code | 741335710 |
| Phone Number | 9189019701 |
| Fax Number | 9187104118 |
Provider's Primary Taxonomy Detail
| Speciality | Addiction Medicine |
|---|---|
| Taxonomy | 207Ra0401X |
| Licence No | 17313 |
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Definition: An internist doctor of osteopathy that specializes in the treatment of addiction disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine can obtain a Certificate of Added Qualification |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 100229400A | OK | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Bryan Andrew Vandoren?
The Bryan Andrew Vandoren has been issued the NPI (National Provider Identifier) 1447298120 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you share the physical location details of Bryan Andrew Vandoren?
The Bryan Andrew Vandoren is situated at 9320 S Mingo Rd, in the city of Tulsa, state of OK, with the zip code 741335710.
What is Bryan Andrew Vandoren's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Bryan Andrew Vandoren's specialized field of practice is Addiction Medicine, and the corresponding taxonomy code that categorizes this area of specialization is 207Ra0401X.
On what date did Bryan Andrew Vandoren receive its 1447298120 assignment from the Centers for Medicare & Medicaid Services?
The Bryan Andrew Vandoren was assigned its 1447298120 on 2006-06-03, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the Bryan Andrew Vandoren's information last updated?
The Bryan Andrew Vandoren's information was last updated on 2022-05-02.
NPI Number: 1528061710
Address: 19 Nh Route 104, Meredith, NH