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Individual

MARK EDWARD RIGNEY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
425 FAIRVIEW AVE STE 1, PONCA CITY, OK 74601-1924
(580) 765-6647
(580) 765-6699
Mailing address
425 FAIRVIEW AVE STE 1, PONCA CITY, OK 74601-1924
(580) 765-6647
(580) 765-6699

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
22078
OK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200011960A
OK
01
7029546
AETNA
Enumeration date
05/31/2005
Last updated
12/07/2021
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