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NPI Code Detail

MEDICARE: MARK STEVEN DAWSON MD

MEDICARE: MARK STEVEN DAWSON MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207RI0200XInfectious Disease Physician15369OK

General Provider Information

NPI Number : 1265558779
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARK STEVEN DAWSON MD
Provider Business Mailing Address
First Line : 10616 E 99TH ST
Second Line :
City : TULSA
State : OK
Zip : 74133-5103
Country : US
Telephone Number : 918-254-6147
Fax Number :
Provider Business Practice Location Address
First Line : 6120 S YALE AVE
Second Line : SUITE 1225
City : TULSA
State : OK
Zip : 74136-4234
Country : US
Telephone Number : 916-624-4756
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/22/2007
Last Update Date : 07/08/2007

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Directions to “ MARK STEVEN DAWSON MD” Practice Location

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