Doctor Name: | DR. MARK STEPHEN JAMES |
NPI Number: | 1649383662 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | 16937 |
Business Practice Address: | 4913 W Reno Ave Oklahoma City, OK - 731276339 |
Business Phone Number: | 4059484900 |
Business Fax Number: | |
Mailing Address: | 601 Robert S Kerr Ave Apt 210, OKLAHOMA CITY |
State: | OK |
Postal Code: | 731021834 |
Phone Number: | 4052325175 |
Fax Number: | |
NPI Enumeration Date: | 08/16/2006 |
NPI Last Update Date: | 07/09/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 16937 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OK |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |