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1083684476
MARK DOUGLAS FOSSEY
MUSKOGEE, OK
NPI
1083684476
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2084P0800X Psychiatry & Neurology, Psychiatry
(Licence: OK 11793)
Enumeration Date
2006-01-26
Last Update Date
2017-03-20
Business Address
-- MARK DOUGLAS FOSSEY MD
1011 HONOR HEIGHTS DR JACK C. MONTGOMERY VAMC
MUSKOGEE, OK 74401-1318
Phone number: 918-577-3031
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Mailing Address
-- MARK DOUGLAS FOSSEY MD
PO BOX 21228 DEPARTMENT 31
TULSA, OK 74121-1228
Phone number: 918-491-3762
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