Individual
MARC A WEITZEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5224 E I 240 SERVICE RD STE 201, OKLAHOMA CITY, OK 73135-2607
(405) 608-3800
(405) 628-6495
Mailing address
7800 NW 85TH TER, OKLAHOMA CITY, OK 73132-3385
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
20838
OK
207RI0011X
Interventional Cardiology Physician
Primary
20838
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
060063312
RAILROAD MEDICARE
OK
05
—
100190400A
—
OK
05
—
200032810A
—
OK
Enumeration date
10/05/2005
Last updated
11/04/2020
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