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NPI Code Detail

MEDICARE: RONALD RAY MAGEE M.D.

MEDICARE: RONALD RAY MAGEE M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12085R0204XVascular & Interventional Radiology Physician084224OH
22086S0129XVascular Surgery Physician084224OH
32086S0129XVascular Surgery Physician30423OK

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1P00234858OTHEROHRAILROAD MEDICARE

General Provider Information

NPI Number : 1013918317
Entity Type Code : Individual
Provider Name (Legal Business Name) : RONALD RAY MAGEE M.D.
Provider Business Mailing Address
First Line : 7800 NW 85TH TER
Second Line :
City : OKLAHOMA CITY
State : OK
Zip : 73132-3385
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 5224 E I 240 SERVICE RD STE 303
Second Line :
City : OKLAHOMA CITY
State : OK
Zip : 73135-2607
Country : US
Telephone Number : 405-608-3800
Fax Number : 405-628-6477
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/09/2005
Last Update Date : 06/06/2022

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