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Individual

MARK A CAMP

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
901 N PORTER AVE, NORMAN, OK 73071-6404
(405) 292-5500
(405) 292-5505
Mailing address
PO BOX 1330, NORMAN, OK 73070-1330

Taxonomy

Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
16164
OK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100102190B
OK
Enumeration date
09/14/2006
Last updated
08/12/2019
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