Individual
DR. CORLEY MARK PALMER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
900 17TH ST., WOODWARD REGIONAL HOSPITAL, WOODWARD, OK 73801
(580) 763-2071
Mailing address
930 N 5TH ST, PONCA CITY, OK 74601-3353
(580) 763-2071
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
13000
OK
Other
Enumeration date
07/13/2006
Last updated
05/15/2012
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