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General NPI Number Information
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NPI Number | 1871667824
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Entity Type | Organization
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Legal Business Name | MARK A. MYERS, M.D. P.C.
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Dates
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Enumeration Date | 11/20/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 3400 E FRANK PHILLIPS BLVD SUITE 601
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City | BARTLESVILLE
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State | OK
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Zip | 74006-2495
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Country | US
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Telephone | 918-331-2599
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Fax | 918-331-2598
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Provider Business Mailing Address
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Address Line | 3400 E FRANK PHILLIPS BLVD SUITE 601
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City | BARTLESVILLE
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State | OK
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Zip | 74006-2495
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Country | US
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Telephone | 918-331-2599
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Fax | 918-331-2598
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Authorized Official
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Title or Position | OWNER
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Name | DR. MARK ALAN MYERS
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Credential | M.D.
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Telephone | 918-331-2599
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RP1001X
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Taxonomy Name | Pulmonary Disease Physician
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License Number | 17750
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License Number State | OK
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