OrganizationActive
Musculoskeletal Imaging and Interventional LLC
NPI 1629020995 · Vascular & Interventional Radiology Physician · Edmond, OK
Provider details
- NPI number
- 1629020995
- Entity type
- Organization
- Primary specialty
- Vascular & Interventional Radiology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Douglas Beall, Chief of Services(405) 601-2325
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
1023 Waterwood Pkwy
Edmond, OK 73034-5324
Phone: (405) 601-2325
Fax: (405) 497-6074
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 1390
Oklahoma City, OK 73101-1390
Registry dates
- Enumerated
- 2006-05-16
- Last updated
- 2025-07-28
- Certified
- 2025-07-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.