Individual
MARC ANDREW GOLDBERG
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2000 S WHEELING AVE, SUITE 501, TULSA, OK 74104-5639
(918) 584-4433
(918) 584-4479
Mailing address
PO BOX 21228, TULSA, OK 74121-1228
(918) 584-4433
(918) 584-4479
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
20009
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100198360A
—
OK
Enumeration date
09/14/2005
Last updated
06/27/2019
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