Organization
CENTER FOR PLASTIC SURGERY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK L. MATHERS D.O. (PHYSICIAN)
(918) 749-7177
Entity
Organization
Contact information
Practice address
1844 E 15TH ST, TULSA, OK 74104-4611
(918) 749-7177
(918) 749-7309
Mailing address
1844 E 15TH ST, TULSA, OK 74104-4611
(918) 749-7177
(918) 749-7309
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
2384
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100742880A
—
OK
01
—
442629711-001
BLUE CROSS BLUE SHIELD
OK
Enumeration date
12/21/2006
Last updated
07/07/2010
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us