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Individual

MARK CLAYTON VACCARO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
6304 BRYANT CT, OKLAHOMA CITY, OK 73122-7000
(405) 722-8052
Mailing address
6304 BRYANT CT, OKLAHOMA CITY, OK 73122-7000
(405) 722-8052

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
20489
OK

Other

Enumeration date
05/04/2006
Last updated
02/12/2008
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