Individual
DR. MARK ALAN MEDLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
744 W 9TH ST, TULSA, OK 74127-9020
(918) 492-7722
(918) 357-5859
Mailing address
PO BOX 140156, BROKEN ARROW, OK 74014-0002
(918) 357-5859
(918) 357-5859
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
16978
OK
Other
Enumeration date
06/28/2006
Last updated
07/08/2007
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