Individual
MARION K. STUDEBAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
520 S MUSTANG RD, YUKON, OK 73099-6737
(405) 936-5910
(405) 577-2605
Mailing address
520 S MUSTANG RD, YUKON, OK 73099-6737
(405) 936-5910
(405) 577-2605
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
13434
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
080020799
RAILROAD
OK
05
—
100088380A
—
OK
01
—
13434
LICENSE
OK
01
—
20466
OBNDD
OK
Enumeration date
06/30/2006
Last updated
09/14/2018
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