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NPI Code Detail

MEDICARE: DR. MARC R HILLE MEDICAL DOCTOR

MEDICARE:  DR. MARC R HILLE  MEDICAL DOCTOR
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
12084N0402XNeurology with Special Qualifications in Child Neurology Physician13277OK

General Provider Information

NPI Number : 1922097724
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MARC R HILLE MEDICAL DOCTOR
Provider Business Mailing Address
First Line : 5300 N INDEPENDENCE AVE
Second Line : STE. 280
City : OKLAHOMA CITY
State : OK
Zip : 73112-5556
Country : US
Telephone Number : 405-713-7060
Fax Number : 405-713-7064
Provider Business Practice Location Address
First Line : 3330 NW 56TH ST
Second Line : STE. 305
City : OKLAHOMA CITY
State : OK
Zip : 73112-4479
Country : US
Telephone Number : 405-713-7060
Fax Number : 405-713-7064
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/14/2005
Last Update Date : 11/03/2016

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Directions to “ DR. MARC R HILLE MEDICAL DOCTOR” Practice Location

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