Organization
MARY K MERCER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARY K MERCER DO (PRESIDENT)
(405) 942-5513
Entity
Organization
Contact information
Practice address
5700 N PORTLAND AVE STE 102, OKLAHOMA CITY, OK 73112-1662
(405) 942-5513
(405) 943-1661
Mailing address
5700 N PORTLAND AVE STE 102, OKLAHOMA CITY, OK 73112-1662
(400) 942-5513
(405) 943-1661
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
2885
OK
Other
Enumeration date
12/24/2016
Last updated
12/24/2016
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