Individual
DR. BRAD A MARION
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6205 N SANTA FE AVE, SUITE 201, OKLAHOMA CITY, OK 73118-7537
(405) 272-8338
(405) 272-6030
Mailing address
6205 N SANTA FE AVE, SUITE 201, OKLAHOMA CITY, OK 73118-7537
(405) 272-8338
(405) 272-6030
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
12510
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100057450A
—
OK
Enumeration date
11/13/2006
Last updated
10/21/2020
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