Marquis Center of Oklahoma City Pllc
NPI #1013586676 in Oklahoma City, Oklahoma
Provider Information
- NPI Number
- 1013586676
- Entity Type
- Organization
- Organization Name
- Marquis Center of Oklahoma City Pllc
- Primary Specialty
- Clinic/Center - Oral and Maxillofacial Surgery
- Enumeration Date
- Jun 18, 2021
- Last Updated
- Jun 18, 2021
Practice Location
- Address
- MARQUIS CENTER OF OKLAHOMA CITY, PLLC
- Address 2
- 13901 PARKWAY COMMONS SUITE D
- City
- Oklahoma City
- State
- Oklahoma
- ZIP Code
- 73134
- Phone
- (405) 500-7004
Authorized Official
- Name
- MR. CLARK ALLEN PETERSEN JR.
- Title
- OPERATIONS DIRECTOR
- Phone
- (618) 402-6622
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Oral and Maxillofacial Surgery — Oral and Maxillofacial Surgery |
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