Healthcare Provider Details

I. General information

NPI: 1255426417
Provider Name (Legal Business Name): MARK W ROLFE MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/04/2006
Last Update Date: 09/22/2026
Certification Date: 09/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3400 NW EXPRESSWAY STE 700
OKLAHOMA CITY OK
73112-4492
US

IV. Provider business mailing address

3400 NW EXPRESSWAY STE 700
OKLAHOMA CITY OK
73112-4492
US

V. Phone/Fax

Practice location:
  • Phone: 405-951-8191
  • Fax: 405-945-5467
Mailing address:
  • Phone: 405-951-8191
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RC0200X
TaxonomyCritical Care Medicine (Internal Medicine) Physician
License Number32887
License Number StateOK
# 2
Primary TaxonomyY
Taxonomy Code207RP1001X
TaxonomyPulmonary Disease Physician
License Number32887
License Number StateOK

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: