Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. RANDALL WAYNE HENTHORN, MD
ActiveDR. RANDALL WAYNE HENTHORN, MD is a Interventional Vascular Surgery healthcare provider located in OKLAHOMA CITY, Oklahoma. NPI 1508858804 is currently active in the NPPES registry. Verify at CMS.
Interventional Vascular Surgery · OKLAHOMA CITY, OK
Registration Details
- NPI Number
- 1508858804
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 22, 2005 (20.943771105605 yrs)
- Last Updated
- Aug 13, 2012
- Licenses
-
11470 (OK)11470 (OK)
Practice Information
- Address
-
750 NE 13TH STOAC 200OKLAHOMA CITY, OK, 731045010Browse OK providers · Browse ZIP 73104
- Phone
- 4052714351
- Fax
- 4052718695
- Primary Specialty
-
Interventional Vascular Surgery
208VP0014X
- Additional Specialty
- Anesthesiology
Other Interventional Vascular Surgery Providers in OKLAHOMA CITY, OK
| Name | Credential | NPI |
|---|---|---|
| DR. JACK E MARSHALL | MD | 1982608873 |
| DR. SCOTT A MITCHELL | DO | 1952305849 |
| DR. MARTIN J LOPEZ | MD | 1013905942 |
| DR. AHMED A AMAYEM | M.D. | 1992718381 |
| DR. JUSTIN ROSS PORTER | M.D. | 1104098961 |
| PATRICK TIMOTHY PREVO | M.D. | 1972770386 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.