Individual
DR. MARK TRAVIS MCPHERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
921 NE 13TH ST, OKLAHOMA CITY, OK 73104-5007
(405) 456-3102
Mailing address
1517 GLENOLDE PL, EDMOND, OK 73003-2674
(940) 781-4814
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
14921
OK
Other
Enumeration date
01/19/2015
Last updated
01/19/2015
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