Damon, Mark

Damon, Mark is an individual health care provider with primary practice located at 1011 14Th Ave Nw , Ardmore OK 73401-1828. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Damon, Mark can be contacted via phone (580) 220-6658.

Contact Information

Primary practice address
1011 14Th Ave Nw Ardmore OK 73401-1828
Phone: (580) 220-6658
Fax: (580) 220-6673
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 04752 Oklahoma

Profile Details

NPI number 1124256888
LBN Legal business name Damon, Mark
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 1st, 2009
Last updated Apr 28th, 2014 - about 12 years ago

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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1124256888 NPPES
Oklahoma MEDICAID 200250290A

Popular Providers