Individual
MARK NEIL HARVEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4050 W MEMORIAL RD, OKLAHOMA CITY, OK 73120
(405) 608-3800
(405) 608-3838
Mailing address
7800 NW 85TH TER, OKLAHOMA CITY, OK 73132-3385
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
20861
OK
207RC0000X
Cardiovascular Disease Physician
20861
OK
207RC0001X
Clinical Cardiac Electrophysiology Physician
Primary
20861
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
060051715
RAILROAD MEDICARE
OK
05
—
100107360A
—
OK
Enumeration date
10/04/2005
Last updated
05/12/2023
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