MARK ALLEN BIRDSONG

OWASSO, OK
NPI1295857167
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy208600000X Surgery
(Licence: OK  26563)
Additional Taxonomies208600000X Surgery
(Licence: KS  94-05976)
Enumeration Date2007-04-04
Last Update Date2014-06-24
Business Address
Dr. MARK ALLEN BIRDSONG M.D.
10512 N 110TH EAST AVE SUITE 240
OWASSO, OK 74055-6636
Phone number: 918-212-1200
Mailing 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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