Organization
MARK 5 CARE GROUP, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT WILLIAM RADER M.D. (PRESIDENT)
(405) 830-6673
Entity
Organization
Contact information
Practice address
1407 N ROBINSON AVE, OKLAHOMA CITY, OK 73103-4823
(405) 232-8000
Mailing address
9801 S MUSTANG RD, MUSTANG, OK 73064-9531
(405) 830-6673
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
16912
OK
Other
Enumeration date
05/21/2012
Last updated
05/21/2012
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