Individual
MARK R WOODSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3524 NW 56TH ST, OKLAHOMA CITY, OK 73112-4518
(405) 657-3120
(405) 657-3122
Mailing address
3524 NW 56TH ST, OKLAHOMA CITY, OK 73112-4518
(405) 657-3120
(405) 657-3122
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
19384
OK
208M00000X
Hospitalist Physician
Primary
19384
OK
Other
Enumeration date
06/08/2005
Last updated
01/17/2024
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