Individual
MARK L MATHERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1844 E 15TH ST, TULSA, OK 74104-4611
(918) 749-7177
Mailing address
1844 E 15TH ST, TULSA, OK 74104-4611
(918) 749-7177
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
2384
OK
Other
Enumeration date
03/09/2007
Last updated
07/08/2007
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