Individual
MR. MARK A ANTHONY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
544 MATHEWS, PAWHUSKA, OK 74056-0544
(918) 857-6381
(918) 847-3326
Mailing address
P.O. BOX 333, BARNSDALL, OK 74002-0333
(918) 857-6381
(918) 847-3326
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
325
OK
Other
Enumeration date
12/27/2007
Last updated
12/27/2007
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