Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207XP3100X | Pediatric Orthopaedic Surgeon | 5116 | OK |
NPI | 1033422332 |
---|---|
Provider Name | Mark Steven Schwartz |
First Address | Tulsa, OK 74136-3347 |
Second Address | Tulsa, OK 74136-7823 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/07/2010 |
Last Update Date | 16/09/2016 |