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Individual

MARK FINE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1000 N LEE AVE, OKLAHOMA CITY, OK 73102
(405) 272-9641
(405) 235-0738
Mailing address
608 NW 9TH ST STE 6210, OKLAHOMA CITY, OK 73102-1069
(405) 272-9641
(405) 235-0738

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
27189
OK
207L00000X
Anesthesiology Physician
P7439
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
324883301
TX
01
8EA134
BCBS
TX
Enumeration date
05/26/2009
Last updated
07/12/2018
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