Individual
MARK A BLACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1122 NE 13TH ST # 1200, OKLAHOMA CITY, OK 73117-1039
(405) 271-8558
Mailing address
1122 NE 13TH ST # 1200, OKLAHOMA CITY, OK 73117-1039
(405) 271-8558
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
253622
NY
207P00000X
Emergency Medicine Physician
Primary
ME-124249
FL
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
46888
OK
390200000X
Student in an Organized Health Care Education/Training Program
46888
OK
Other
Enumeration date
04/14/2008
Last updated
08/10/2026
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