Individual
DR. GEORGE MARK REDWINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
4720 N CLASSEN BLVD, OKLAHOMA CITY, OK 73118-4827
(405) 528-1207
(405) 528-0279
Mailing address
4720 N CLASSEN BLVD, OKLAHOMA CITY, OK 73118-4827
(405) 528-1207
(405) 528-0279
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
822
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100765430A
—
OK
Enumeration date
01/24/2006
Last updated
12/16/2009
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