Individual
MARK PADEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
511 WINDSOR DR, STILLWATER, OK 74074-6962
(405) 707-0900
(405) 707-3363
Mailing address
511 WINDSOR DR, STILLWATER, OK 74074-6962
(405) 707-0900
(405) 707-3363
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
22955
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
22955
STATE LICENSE
OK
Enumeration date
02/06/2007
Last updated
08/14/2008
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