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1295857167
MARK ALLEN BIRDSONG
OWASSO, OK
NPI
1295857167
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
208600000X Surgery
(Licence: OK 26563)
Additional Taxonomies
208600000X Surgery
(Licence: KS 94-05976)
Enumeration Date
2007-04-04
Last Update Date
2014-06-24
Business Address
DR. MARK ALLEN BIRDSONG M.D.
10512 N 110TH EAST AVE SUITE 240
OWASSO, OK 74055-6636
Phone number: 918-212-1200
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Mailing Address
DR. MARK ALLEN BIRDSONG M.D.
10512 N 110TH EAST AVE SUITE 240
OWASSO, OK 74055-6636
Phone number: 918-212-1200
Copy
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