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Dr. Bernard Louis Fioravanti, MD
Diagnostic Radiology Physician in Wagoner, Oklahoma
NPI 1851382246

Bernard Louis Fioravanti is a Diagnostic Radiology Physician based in Wagoner, OK and is specialized in Diagnostic Radiology. Bernard Louis Fioravanti practices in Wagoner, OK and has the professional credentials of MD. The NPI Number for Bernard Louis Fioravanti is 1851382246 and holds a License No. 11797 (Oklahoma).

The current practice location address for Bernard Louis Fioravanti is 1510 W 90Th St N, Wagoner, OK and can be reached out via phone at 918-519-1155 and via fax at 918-683-4416.

Location: 1510 W 90Th St N, Wagoner, OK, 74467-8159
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1851382246
Provider Name
Bernard Louis Fioravanti
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1510 W 90Th St N, Wagoner, OK, 74467-8159
Phone Number
918-519-1155
Fax Number
918-683-4416
Provider Enumeration Date
11/03/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
100005620A 05 OK
institution
Provider Business Practice Location Address Details
Address
1510 W 90Th St N
City
Wagoner
State
Oklahoma
Zip
74467-8159
Phone Number
918-519-1155
Fax Number
918-683-4416
person
Provider Business Mailing Address Details
Address
1510 W 90Th St N
City
Wagoner
State
Oklahoma
Zip
74467-8159
Phone Number
918-519-1155
Fax Number
918-683-4416
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Radiology
Taxonomy
2085R0202X
License No.
11797 (Oklahoma)
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
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