OrganizationActive
Comprehensive Specialty Care
NPI 1376244095 · Neuroradiology Physician · Edmond, OK
Provider details
- NPI number
- 1376244095
- Entity type
- Organization
- Primary specialty
- Neuroradiology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Douglas Beall, Owner(405) 607-2325
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
1700 S State St
Edmond, OK 73013-3633
Phone: (405) 601-2325
Fax: (405) 359-2491
Approximate (ZIP-level) locationGet directions
Mailing address
1515 Tower Dr
Moore, OK 73160-6181
Registry dates
- Enumerated
- 2023-03-10
- Last updated
- 2023-03-10
- Certified
- 2023-03-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.