Organization
DR MARK D WINCHESTER MD PLLC
Active
Other names
Mark Winchester, M.D.
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK D WINCHESTER M.D. (PHYSICIAN/OWNER)
(405) 485-8100
Entity
Organization
Contact information
Practice address
1019 N COUNCIL AVE, BLANCHARD, OK 73010-8003
(405) 485-8100
(405) 485-8104
Mailing address
PO BOX 1789, BLANCHARD, OK 73010-1789
(405) 485-8100
(405) 485-8104
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
17303
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100186300A
—
OK
Enumeration date
10/28/2008
Last updated
10/28/2008
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