Individual
MARJORIE BENNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
13600 E 86TH ST N, 100, OWASSO, OK 74055-8731
(918) 272-9313
(918) 293-3117
Mailing address
13600 E 86TH ST N, 100, OWASSO, OK 74055-8731
(918) 272-9313
(918) 293-3117
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
13853
OK
Other
Enumeration date
06/08/2006
Last updated
09/10/2010
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