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Mark Azzam

NPI 1518712553 · on the registry since 2024

Practice

Address
717 S Houston Ave
Tulsa, OK 74127
Phone
(918) 382-3539
Fax
(918) 382-3529
Organisation at this address
Osumc
Walgreen Co
Osu Center For Health Sciences
Laboratory Corporation Of America
Oklahoma State Univeristy Medical Center
Inferred from a shared address, not stated in the registry.
Clinicians at this address
97

Registry record

Primary taxonomy
390200000X
390200000X
Licence states on file
OK
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2024-04-23

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