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Individual

DR. MARK A MYERS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
3400 FRANK PHILLIPS, SUITE 601, BARTLESVILLE, OK 74006
(918) 331-2599
(918) 331-2598
Mailing address
226 SE DEBELL, BLDG A, BARTLESVILLE, OK 74006
(918) 331-2599
(918) 331-2598

Taxonomy

Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
17750
OK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100096170A
OK
05
100096170B
OK
Enumeration date
06/30/2005
Last updated
06/29/2011
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