Individual
MARC D. KNUDSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
3300 NW EXPRESSWAY, OKLAHOMA CITY, OK 73112-4418
(405) 951-2541
(405) 951-2237
Mailing address
5300 N INDEPENDENCE AVE, SUITE 280, OKLAHOMA CITY, OK 73112-5556
(405) 951-2541
(405) 951-2237
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
3859
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100259600A
—
OK
Enumeration date
09/21/2005
Last updated
04/09/2021
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