MARK A BIRDSONG

AHS OKLAHOMA PHYSICIAN GROUP LLC

Dr MARK A BIRDSONG is a male medical professional, specializing in General Surgery. He graduated in 2003 from University Of Oklahoma College Of Medicine.

Contact

AHS OKLAHOMA PHYSICIAN GROUP LLC

10512 N 110TH E AVE
300 UTICA PARK CLINIC OWASSO
OWASSO
OK
740556636

Tel: 9183768900

MARK A BIRDSONG Information

Npi 1295857167
Pac Id 6002984200
Professional Enrollment Id I20081001000118
Last Name BIRDSONG
First Name MARK
Middle Name A
Suffix
Gender M
Credential
Medical School Name UNIVERSITY OF OKLAHOMA COLLEGE OF MEDICINE
Graduation Year 2003
Primary Specialty GENERAL SURGERY
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name AHS OKLAHOMA PHYSICIAN GROUP LLC
Group Practice Pac Id 9436122496
Number Of Group Practice Members 272
Line 1 Street Address 10512 N 110TH E AVE
Line 2 Street Address 300 UTICA PARK CLINIC OWASSO
Marker Of Address Line 2 Suppression
City OWASSO
State OK
Zip Code 740556636
Phone Number 9183768900
Hospital Affiliation Ccn 1 370228
Hospital Affiliation Lbn 1 BAILEY MEDICAL CENTER, LLC
Hospital Affiliation Ccn 2 370015
Hospital Affiliation Lbn 2 HILLCREST HOSPITAL PRYOR
Hospital Affiliation Ccn 3 370202
Hospital Affiliation Lbn 3 HILLCREST HOSPITAL SOUTH
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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