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NPI Code Detail

MEDICARE: MARK D MORROW AA

MEDICARE: MARK D MORROW AA
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
1367H00000XAnesthesiologist Assistant
2367H00000XAnesthesiologist Assistant11OK

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1336143817
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARK D MORROW AA
Provider Business Mailing Address
First Line : 6839 S CANTON AVE
Second Line :
City : TULSA
State : OK
Zip : 74136-3402
Country : US
Telephone Number : 918-494-0612
Fax Number : 918-392-4693
Provider Business Practice Location Address
First Line : 6161 S YALE AVE
Second Line :
City : TULSA
State : OK
Zip : 74136-1902
Country : US
Telephone Number : 918-494-0612
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/13/2005
Last Update Date : 03/11/2021

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