Search › Oklahoma › 101YA0400X
Mark Ingram, LADC
NPI 1417235425 · on the registry since 2011 · sole proprietor
Practice
- Address
- 7537 S Braden Ave
Tulsa, OK 74136 - Phone
- (918) 857-0269
Registry record
- Primary taxonomy
- 101YA0400X
101YA0400X
- Licence states on file
- OK
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2011-07-25
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oklahoma