Meese, Mark Russell

Meese, Mark Russell is an individual health care provider with primary practice located at 2448 E 81St St Suite 1100, Tulsa OK 74137-4250. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Meese, Mark Russell can be contacted via phone (918) 505-3400.

Contact Information

Primary practice address
2448 E 81St St Suite 1100 Tulsa OK 74137-4250
Fax: (918) 508-7070
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 15488 Oklahoma

Profile Details

NPI number 1407817802
LBN Legal business name Meese, Mark Russell
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 28th, 2006
Last updated Apr 13th, 2023 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1407817802 NPPES
Oklahoma MEDICAID 100137240A

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