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Individual

MR. MARK SIEGFRIED PITAMBERSINGH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CPO, LPO

Contact information

Practice address
4207 W MEMORIAL RD, OKLAHOMA CITY, OK 73134-1761
(405) 525-4000
Mailing address
4207 W MEMORIAL RD, OKLAHOMA CITY, OK 73134-1761
(405) 525-4000

Taxonomy

Speciality
Code
Description
License number
State
224P00000X
Prosthetist
Primary
121
OK

Other

Enumeration date
08/12/2021
Last updated
08/12/2021
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