MARK B. PRIVOTT, O.D., INC

BETHANY, OK
NPI1225257249
Entity TypeOrganization
Authorized ContactMARK B PRIVOTT
Owner
405-495-5170
Organization Subpart ?No
Primary Taxonomy152W00000X Optometrist
(Licence: OK  1113)
Enumeration Date2007-04-25
Last Update Date2011-03-03
Business Address
MARK B. PRIVOTT, O.D., INC
7415 NW 23RD ST
BETHANY, OK 73008-5135
Phone number: 405-495-5170
Mailing Address
MARK B. PRIVOTT, O.D., INC
7415 NW 23RD ST
BETHANY, OK 73008-5135
Phone number: 405-495-5170
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