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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. BERNARD LOUIS FIORAVANTI, MD

Active Sole Proprietor

DR. BERNARD LOUIS FIORAVANTI, MD is a Diagnostic Radiology healthcare provider located in WAGONER, Oklahoma. NPI 1851382246 is currently active in the NPPES registry. Verify at CMS.

Diagnostic Radiology · WAGONER, OK

Registration Details

NPI Number
1851382246
Provider Type
Individual
Gender
Male
NPI Issued
Nov 3, 2005 (20.8221949168 yrs)
Last Updated
Feb 21, 2012
License
11797 (OK)
Sole Proprietor
Yes

Practice Information

Address
1510 W 90TH ST N
WAGONER, OK, 744678159
Browse OK providers · Browse ZIP 74467
Phone
9185191155
Fax
9186834416
Primary Specialty
Diagnostic Radiology
2085R0202X
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.