Mary K Mercer
Internal Medicine in Oklahoma City, OK. Organization (NPI-2).
NPI number1982149100
StatusActive
Last updated in NPPESDec 24, 2016
Details
- NPI
- 1982149100
- Entity type
- Organization (NPI-2)
- Legal business name
- Mary K Mercer
- Organization subpart
- No
- Enumeration date
- Dec 24, 2016
- Last updated
- Dec 24, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207R00000X | Internal Medicine | 2885 | OK | Yes |
Practice location
5700 N Portland Ave Ste 102Oklahoma City, OK 73112-1662
Phone 405-942-5513 · Fax 405-943-1661
Mailing address
5700 N Portland Ave Ste 102Oklahoma City, OK 73112-1662
Phone 400-942-5513 · Fax 405-943-1661
Authorized official
Mary K Mercer
President
4059425513
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