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Individual

MARK STEVEN HAMRA

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
817 S ELM PL, STE 107, BROKEN ARROW, OK 74012-5369
(918) 259-3141
(918) 258-1266
Mailing address
9913 S 87TH EAST AVE, TULSA, OK 74133-5593
(918) 250-0087
(918) 258-1266

Taxonomy

Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
17578
OK

Other

Enumeration date
06/23/2005
Last updated
12/18/2022
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