Individual
DR. MARK ANDREW KEUCHEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
4401 S WESTERN AVE, OKLAHOMA CITY, OK 73109-3413
(405) 636-7195
Mailing address
4401 S WESTERN AVE, OKLAHOMA CITY, OK 73109-3413
(405) 636-7195
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
5580
OK
Other
Enumeration date
02/11/2014
Last updated
06/25/2014
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