Organization
INTER ID INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK DILLIER ROWLAND MD (PRESIDENT)
(918) 494-9486
Entity
Organization
Contact information
Practice address
6565 S YALE AVE, STE 812, TULSA, OK 74136-8354
(918) 494-9486
(918) 494-9480
Mailing address
6565 S YALE AVE, STE 812, TULSA, OK 74136-8354
(918) 494-9486
(918) 494-9480
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100737010A
—
OK
Enumeration date
12/22/2005
Last updated
12/17/2012
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