IndividualActive
Corey Godwin
NPI 1073367207 · Electroneurodiagnostic Specialist/Technologist · Tulsa, OK
Provider details
- NPI number
- 1073367207
- Entity type
- Individual
- Primary specialty
- Electroneurodiagnostic Specialist/TechnologistTechnologists, Technicians & Other Technical Service Providers
- Sex
- Male
- Sole proprietor
- Yes
Specialties & taxonomies
Technologists, Technicians & Other Technical Service Providers
Practice location
1715 S Baltimore Ave
Tulsa, OK 74119-4807
Phone: (918) 895-7680
Approximate (ZIP-level) locationGet directions
Mailing address
1715 S Baltimore Ave
Tulsa, OK 74119-4807
Registry dates
- Enumerated
- 2024-04-15
- Last updated
- 2024-04-15
- Certified
- 2024-04-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.