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Individual

MARK ADRAIN KIEFER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1705 E 19TH ST STE 502, TULSA, OK 74104-5416
(918) 748-7800
(918) 403-6349
Mailing address
1705 E 19TH ST STE 502, TULSA, OK 74104-5416
(918) 748-7800
(918) 403-6349

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
27205
OK
208C00000X
Colon & Rectal Surgery Physician
Primary
27205
OK

Other

Enumeration date
09/27/2006
Last updated
10/02/2020
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