Individual
DR. MARK A OATMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
154 S MCCORD RD, PONCA CITY, OK 74604-5885
(580) 747-9039
Mailing address
154 S MCCORD RD, PONCA CITY, OK 74604-5885
(580) 747-9039
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
04-29587
KS
207Q00000X
Family Medicine Physician
Primary
26016
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200127510A
—
OK
Enumeration date
01/06/2006
Last updated
09/25/2019
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