Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 2086S0129X | Vascular Surgeon | 084224 | OH |
Y | 2086S0129X | Vascular Surgeon | 30423 | OK |
NPI | 1013918317 |
---|---|
Provider Name | Ronald Ray Magee |
First Address | Oklahoma City, OK 73132-3385 |
Second Address | Oklahoma City, OK 73135-2607 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/08/2005 |
Last Update Date | 06/11/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
F01190 | (02) | OH |
P00234858 | RAILROAD MEDICARE (01) | OH |