Healthcare Provider Details

I. General information

NPI: 1003263757
Provider Name (Legal Business Name): MARCUS TOSCHI M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/23/2016
Last Update Date: 07/11/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4300 W MEMORIAL RD
OKLAHOMA CITY OK
73120
US

IV. Provider business mailing address

18232 CAMBORNE AVE
EDMOND OK
73012-3215
US

V. Phone/Fax

Practice location:
  • Phone: 405-755-1515
  • Fax:
Mailing address:
  • Phone: 620-202-1993
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License Number32308
License Number StateOK

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: