Individual
MR. MARCUS LAVON HOWARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
6202 S LEWIS AVE, STE, H, TULSA, OK 74136-1099
(918) 949-4086
(918) 949-3638
Mailing address
4400 S 202ND EAST AVE, BROKEN ARROW, OK 74014-1593
(918) 402-1290
(918) 355-7006
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200287120A
—
OK
Enumeration date
10/29/2012
Last updated
10/29/2012
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