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Individual

MARK DAVID WINCHESTER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
317 E HIMES ST, NORMAN, OK 73069-7810
(405) 632-6688
(405) 604-0738
Mailing address
1025 STRAKA TER, OKLAHOMA CITY, OK 73139-2544
(405) 632-6688
(405) 604-0738

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
17303
OK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100186300A
OK
Enumeration date
03/01/2006
Last updated
03/19/2015
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