Organization
MARK A BIRDSONG PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK A. BIRDSONG M.D. (OWNER)
(918) 599-8200
Entity
Organization
Contact information
Practice address
1809 E. 13TH ST., STE.400, TULSA, OK 74104-4431
(918) 599-8200
(918) 583-3491
Mailing address
1809 E. 13TH ST., STE.400, TULSA, OK 74104-4431
(918) 599-8200
(918) 583-3491
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
26563
OK
Other
Enumeration date
06/29/2010
Last updated
11/02/2010
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