Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RI0200X | Infectious Disease | 12740 | OK |
NPI | 1033194451 |
---|---|
Provider Name | Dr. Mark Dillier Rowland |
First Address | Tulsa, OK 74136-8310 |
Second Address | Tulsa, OK 74136 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/12/2005 |
Last Update Date | 29/06/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
10013643A | (05) | OK |
D42773 | (02) |