Individual
DR. MARK EDWIN RATHGEBER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
701 MARKET DR, OKLAHOMA CITY, OK 73114
(405) 951-3719
(405) 951-3916
Mailing address
701 MARKET DR, OKLAHOMA CITY, OK 73114
(405) 951-3719
(405) 951-3916
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
16229
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100200890A
—
OK
Enumeration date
11/16/2006
Last updated
04/22/2014
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