Powers, Matthew G.

Powers, Matthew G. is an individual health care provider with primary practice located at 1923 S Utica Ave Sjmc Radiology, Tulsa OK 74104-6520. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Neuroradiology, Allopathic & Osteopathic Physicians / Diagnostic Radiology, Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology. Allopathic & Osteopathic Physicians / Diagnostic Radiology is his primary health care specialty. Powers, Matthew G. can be contacted via phone (918) 744-2171.

Contact Information

Primary practice address
1923 S Utica Ave Sjmc Radiology Tulsa OK 74104-6520
Phone: (918) 744-2171
Fax: (918) 744-3137
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neuroradiology 2085N0700X 12621 Oklahoma
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 12621 Oklahoma
Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology 2085R0204X 12621 Oklahoma

Profile Details

NPI number 1902858244
LBN Legal business name Powers, Matthew G.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 16th, 2006
Last updated Aug 24th, 2011 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1902858244 NPPES
Oklahoma MEDICAID 100155150

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