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NPI Code Detail

MEDICARE: MARCUS RAMON HARPER

MEDICARE: MARCUS RAMON HARPER
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
1171M00000XCase Manager/Care Coordinator

General Provider Information

NPI Number : 1598544298
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARCUS RAMON HARPER
Provider Business Mailing Address
First Line : 2020 W NEWTON ST
Second Line :
City : TULSA
State : OK
Zip : 74127-3019
Country : US
Telephone Number : 918-381-9719
Fax Number :
Provider Business Practice Location Address
First Line : 6028 S 66TH EAST AVE STE 102
Second Line :
City : TULSA
State : OK
Zip : 74145-9226
Country : US
Telephone Number : 918-764-8067
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/22/2023
Last Update Date : 09/22/2023

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