Individual
DR. MARK STEPHEN JAMES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4913 W RENO AVE, OKLAHOMA CITY, OK 73127-6339
(405) 948-4900
Mailing address
601 ROBERT S KERR AVE APT 210, OKLAHOMA CITY, OK 73102-1834
(405) 232-5175
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
16937
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1116937
—
OK
01
—
16937
LICENSE NUMBER
OK
01
—
17291
OBN CERTIFICATE OF REG
OK
Enumeration date
08/16/2006
Last updated
03/07/2023
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